Abstract
A 48-year-old man came to plastic surgery department because he suffered from extreme superior jaw atrophy. In order to restore both the vertical and sagittal bone loss, according to prosthetic criteria, a vascularized fibula flap was planned. Neither early nor late complications were detected at the donor site. Clinical and radiologic signs of osteointegration were found at all implant sites at the time of prosthetic loading. The success rate of loaded implants was 100%. Patient was both functionally and aesthetically satisfied with the results.
Similar content being viewed by others
References
Albrektsson T, Zarb GA, Worthington P, Eriksson A. The long-term efficacy of currently used dental implants: a review and proposed criteria for success. Int J Oral Maxillofac Implants. 1986;1:11–25.
Cordeiro PG, Matros E. Use of templates to perform osteotomies of the fibula and to shape the neo-mandible or neomaxilla. In: De Santis G, Cordeiro P, Chiarini L, editors. Atlas of mandibular and maxillary reconstruction with the fibula flap. Cham: Springer; 2019.
Cordeiro PG, Disa JJ, Hidalgo DA, Hu QY. Reconstruction of the mandible with osseous free flap: a 10 year experience with 150 consecutive patients. Plast Reconstr Surg. 1999;104:1314–20.
Fonseca RJ. Biologic aspects of transplantation of grafts. In: Fonseca RJ, editor. Reconstructive preprosthetic oral and maxillofacial surgery. Philadelphia: Saunders; 1986. p. 23–31.
Foster RD, Anthony JP, Sharma A, Pogrel MA. Vascularised bone flaps versus nonvascularised bone grafts in mandibular reconstruction: an outcome analysis of primary union and endosseous implant success. Head Neck. 1999;21:66–71.
Hayter JP, Cawood JI. Oral rehabilitation with endosteal implants and free flap. Int J Oral Maxillofac Surg. 1996;25:3–12.
Nakayama B, Matsuura H, Hasegawa Y, Ishihara O, Hasegawa H, Torii S. New reconstruction for total maxillectomy defect with a fibula osteocutaneous free flap. Br J Plast Surg. 1994;47:247–9.
Pinelli M, Puglisi A, De Santis G. Evolution in preoperative imaging. In: De Santis G, Cordeiro P, Chiarini L, editors. Atlas of mandibular and maxillary reconstruction with the fibula flap. Cham: Springer; 2019.
Schusterman MA, Miller MJ, Reece GP, Kroll SS, Marcji M, Goepfert H. A single centre experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg. 1994;93:472–8.
Taylor GI. Reconstruction of the mandible with free composite iliac bone grafts. Ann Plast Surg. 1982;9:361–76.
Tolman DE. Reconstructive procedures with endosseous implants in grafted bone: a review of the literature. Int J Oral Maxillofac Implants. 1995;10:275–94.
Van der Berg JP, Ten Bruggenkate CM, Tuinzing DB. Preimplant surgery of the bony tissues. J Prosthet Dent. 1998;80:175–83.
Author information
Authors and Affiliations
Corresponding author
Section Editor information
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this entry
Cite this entry
De Santis, G., Starnoni, M. (2020). Atrophic Maxilla with Fibula Flap and Implant-Supported Prosthesis. In: Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-94191-2_22-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-94191-2_22-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-94191-2
Online ISBN: 978-3-319-94191-2
eBook Packages: Springer Reference MedicineReference Module Medicine
Publish with us
Chapter history
-
Latest
Atrophic Maxilla with Fibula Flap and Implant-Supported Prosthesis- Published:
- 22 February 2022
DOI: https://doi.org/10.1007/978-3-319-94191-2_22-2
-
Original
Atrophic Maxilla with Fibula Flap and Implant-Supported Prosthesis- Published:
- 05 May 2020
DOI: https://doi.org/10.1007/978-3-319-94191-2_22-1