prefabricated free fibula flap for reconstruction of a maxillary defect: a case report
نویسندگان
چکیده
the present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. the fibula and a cuff of 6-8 mm were prepared with its pedicle intact. the bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were free of inflammation. the fibula flap was then transferred to the maxilla. implant placement was performed 4 to 6 months after transfer of the flap to the oral cavity. three titanium implants, with a width of 4 mm and a length of 13 mm, were placed using a conventional two-stage protocol. a cement-retained 5-unit metal-ceramic fixed partial denture was fabricated.
منابع مشابه
Prefabricated Free Fibula Flap for Reconstruction of a Maxillary Defect: A Case Report
The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were fr...
متن کاملCase History Report: Immediate Rehabilitation with a Prefabricated Fibula Flap Following Removal of a Locally Aggressive Maxillary Tumor.
The present clinical case history report describes an interdisciplinary treatment protocol that combines maxillary tumor resection with immediate reconstruction to achieve functional rehabilitation. A fibula flap that received four dental implants and a split-thickness graft epithelial layer was prefabricated for a 31-year-old man. The flap was designed so that it could be adapted to fit in dif...
متن کاملReconstruction of Temporomandibular Joint With a Fibula Free Flap: A Case Report With a Histological Study.
Reconstruction of the temporomandibular joint (TMJ) for congenital or acquired deformities is a major challenge for maxillofacial surgeons. The alternatives for reconstructing the TMJ include free grafts (costochondral, iliac crest, clavicle, or metatarsus), free flaps (fibula), osteogenic distraction, and alloplastic grafts. The lack of biological knowledge of cartilaginous grafts and their re...
متن کاملThe Role of Free Fibula Flap in the Reconstruction of a Mandibular Ameloblastoma: A Case Report
متن کامل
Ossifying Fibroma of the Mandible: A Case Report Using Vascularized Free Fibula Flap Reconstruction
We report a case of ossifying fibroma of the mandible in a 38-year-old woman. The mandibular resection involved the disarticulation of the condyle while preserving the articular disc. The segmental bony defect was then reconstructed with free fibula flap; the additional contouring of the distal fibular flap was performed during surgery to restore the patient's condylar function. A 2-year follow...
متن کاملFibula osteo-adipofascial flap for mandibular and maxillary reconstruction.
BACKGROUND The fibula free flap is a reliable method for reconstructing composite head and neck defects. However, its skin paddle has drawbacks, including its thickness, hair-bearing surface, desquamation, difficulty insetting it into maxillary defects, and the potential need for skin-grafting the donor site. The fibula osteo-adipofascial flap (FOAFF) is a modification of the fibula flap that o...
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عنوان ژورنال:
journal of periodontology and implant dentistryجلد ۲، شماره ۲، صفحات ۸۸-۰
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