Functional and aesthetic treatment outcomes after immediate jaw reconstruction using a fibula flap and dental implants.
J Craniomaxillofac Surg
; 47(5): 786-791, 2019 May.
Article
em En
| MEDLINE
| ID: mdl-30733133
ABSTRACT
PURPOSE:
Microvascular fibula flap surgery is a reliable and effective procedure for reconstructing the jaws after tumour surgery. This procedure allows the placement of dental implants after bone consolidation. This study was designed to evaluate the oral, functional, and aesthetic rehabilitation of tumour patients with immediate fibula transfer and dental implants and included assessment of diet, speech, and aesthetics. MATERIALS ANDMETHODS:
The study included 34 patients who underwent ablative tumour surgery and immediate jaw reconstruction using a fibula free flap with consecutive rehabilitation by dental implants. In total, 134 implants were inserted into the transferred fibula. The functional and aesthetic results were assessed using a questionnaire. Implant loss and oral excursion were compared with diet type, speech ability, functionality, and patient satisfaction.RESULTS:
Of the 34 patients included in this study, 33 completed the questionnaire. Twenty-six patients (76%) could eat normally without the limitation of a hard or soft diet, 73% could speak intelligibly, and 31 rated the aesthetic result from good to excellent.CONCLUSION:
The fibula flap with the early application of endosseous implants allowed primary immediate reconstruction of the jaw, significantly leading to functional and aesthetic satisfaction in patients who underwent ablative tumour surgery.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Implantes Dentários
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Procedimentos Cirúrgicos Ortognáticos
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Retalhos de Tecido Biológico
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Fíbula
Limite:
Humans
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article