Functional and aesthetic treatment outcomes after immediate jaw reconstruction using a fibula flap and dental implants

2019 ◽  
Vol 47 (5) ◽  
pp. 786-791 ◽  
Author(s):  
Sameh Attia ◽  
Jörg Wiltfang ◽  
Philipp Streckbein ◽  
Jan-Falco Wilbrand ◽  
Thaqif El Khassawna ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Dental Implants ◽  
Jaw Reconstruction ◽  
Fibula Flap

scholarly journals A Comparative Study on a Novel Fibula Malleolus Cap to Increase the Accuracy of Oncologic Jaw Reconstruction

2022 ◽  
Vol 11 ◽  
Author(s):  
Jingya Jane Pu ◽  
Wing Shan Choi ◽  
Wai Kan Yeung ◽  
Wei-Fa Yang ◽  
Wang-Yong Zhu ◽  
...  
Keyword(s):  
Comparative Study ◽  
Dental Implants ◽  
Control Group ◽  
Computer Assisted ◽  
Distal Fibula ◽  
Average Deviation ◽  
Jaw Reconstruction ◽  
Fibula Flap ◽  
Significant Difference ◽  
Dental Rehabilitation

ObjectivesAlthough computer-assisted surgery using fibula flap has been widely applied for oncologic jaw reconstruction in recent years, the inaccurate positioning of the fibula harvest guide brings sliding and rotational errors, which leads to compromised accuracy in simultaneous implant placement and dental rehabilitation. This study aimed to develop a novel three-dimensional (3D)-printed patient-specific fibula malleolus cap to increase oncologic reconstruction accuracy.MethodsIn this prospective comparative study with a recent historical control cohort, patients in need of oncologic jaw reconstruction with fibula free flaps were recruited. In the study group, the fibula was harvested with the guide of the malleolus cap, whereas in the control group, without the malleolus cap. Deviations of location and angulation of distal fibula osteotomies, jaw reconstruction segments, and simultaneous dental implants were compared.ResultsTwenty patients were recruited, with 10 in each arm. The application of the malleolus cap significantly reduced the deviations in locations and angles of distal fibula osteotomies, from 9.5 to 4.1 mm and 25.3° to 8.7°. For the simultaneous dental implants placed in the fibula flaps, there was a significant increase in the accuracy of implant platform locations (the average deviation from 3.2 to 1.3 mm), apex locations (from 3.8 to 1.5 mm), and angles (from 11.3° to 4.6°). No significant difference was detected in the accuracy of fibula reconstruction segments.ConclusionsWe developed a novel fibula malleolus cap to overcome the sliding and rotational errors during fibula flap harvesting for oncologic jaw reconstruction, with increased accuracy in simultaneous dental implants. This is a step forward to achieve a satisfactory functional outcome of jaw reconstruction with dental rehabilitation.

Primary Maxillary Reconstruction With Fibula Flap and Dental Implants: A Comparative Study Between Virtual Surgical Planning and Standard Surgery in Class IIC Defects

2021 ◽  
Vol 79 (1) ◽  
pp. 237-248
Author(s):  
Carlos Navarro Cuéllar ◽  
Elena Bullejos Martínez ◽  
Ignacio Navarro Cuéllar ◽  
Ana María López López ◽  
Manuel Tousidonis Rial ◽  
...  
Keyword(s):  
Comparative Study ◽  
Dental Implants ◽  
Surgical Planning ◽  
Virtual Surgical Planning ◽  
Fibula Flap

Treatment outcomes for adolescent ectodermal dysplasia patients treated with dental implants

2005 ◽  
Vol 15 (4) ◽  
pp. 241-248 ◽  
Author(s):  
I. P. SWEENEY ◽  
J. W. FERGUSON ◽  
A. A. HEGGIE ◽  
J. O. LUCAS
Keyword(s):  
Treatment Outcomes ◽  
Dental Implants ◽  
Ectodermal Dysplasia

scholarly journals Inset Guide for the Osteocutaneous Fibula Flap with Endosseous Implants in Oncologic Jaw Reconstruction

2019 ◽  
Vol 7 (10) ◽  
pp. e2475
Author(s):  
Evan B. Rosen ◽  
Robert J. Allen ◽  
Jonas Nelson ◽  
Evan Matros
Keyword(s):  
Endosseous Implants ◽  
Jaw Reconstruction ◽  
Fibula Flap

Long-Term Results of Jaw Reconstruction With Microsurgical Fibula Grafts and Dental Implants

2007 ◽  
Vol 65 (5) ◽  
pp. 1005-1009 ◽  
Author(s):  
Ali Gbara ◽  
Khaldoun Darwich ◽  
Lei Li ◽  
Rainer Schmelzle ◽  
Felix Blake
Keyword(s):  
Dental Implants ◽  
Long Term Results ◽  
Jaw Reconstruction

scholarly journals DENTAL IMPLANTS IN MAXILLAR RECONSTRUCTION USING OSTEOCUTANEOUS FREE FIBULA FLAP ñ A 10 YEAR FOLLOW UP

2019 ◽  
Author(s):  
Davor Brajdic ◽  
Darko Macan ◽  
Salaric Ivan ◽  
Djanic Petar ◽  
Batinjan Goran ◽  
...  
Keyword(s):  
Dental Implants ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula
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