[The use of autogenous free vascularized fibula transplant for the correction of severe mandibular atrophy]. / Primenenie revaskuliarizirovannogo malobertsovogo autotransplantata dlia ustraneniia vyrazhennoi atrofii nizhnei cheliusti.

The purpose of the study was to increase the effectiveness of surgical treatment and rehabilitation of patients with severe mandibular atrophy by means of autogenous free vascularized fibula transplant use with subsequent dental implants placement in the reconstructed mandible and implant-retained fixed dentures. In 2017 5 female patients underwent surgical treatment of severe mandibular atrophy with autogenous free vascularized fibula transplant in Maxillofacial Surgery department of CRID with additional nonvascularized iliac bone grafts and functional rehabilitation with implant-supported constructions in two of the cases. Due to its form, length and vascularization fibular bone represents a good plastic material for full length mandibular alveolar part reconstruction. The inclusion of the skin paddle in the autogenous free vascularized fibula transplant promotes secure primary closure of the surgical wound in the oral cavity. The use autogenous free vascularized fibula transplant in patients with severe mandibular atrophy with demands a thorough presurgical planning and intraoperative modeling.

[Bone anchored auricular prosthesis for patients with grade III microtia]. / Éktoprotezirovanie ushnoi rakoviny s oporoi na vnutrikostnye implantaty u patsientov s mikrotiei III stepeni.

The aim of the study was to assess the effectivity of auricular prosthesis on intraosseous implants in patient with grade III microtia. The study included 7 patients (5 males and 2 females) aged 18 to 45 years with hemifacial microsomia and grade III microtia operated in Central Research Institute of Dentistry and Maxillofacial Surgery in 2013-2016. Number and position of intraosseous implants was determined by reverse planning based on CT representing hard and soft facial structures. Patients were followed-up for 6-36 months. Good esthetic results were obtained by minimally invasive surgical procedure and short post-op rehabilitation. However these results required meticulous virtual planning and manufacturing of surgical template. The described method promotes very fast medical and social rehabilitation of patients with severe microtia.