Skip to main content

Atrophic Maxilla with Fibula Flap and Implant-Supported Prosthesis

Clinical Scenarios in Reconstructive Microsurgery

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

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.

    CAS  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Fonseca RJ. Biologic aspects of transplantation of grafts. In: Fonseca RJ, editor. Reconstructive preprosthetic oral and maxillofacial surgery. Philadelphia: Saunders; 1986. p. 23–31.

    Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Hayter JP, Cawood JI. Oral rehabilitation with endosteal implants and free flap. Int J Oral Maxillofac Surg. 1996;25:3–12.

    Article  CAS  Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  CAS  Google Scholar 

  • Taylor GI. Reconstruction of the mandible with free composite iliac bone grafts. Ann Plast Surg. 1982;9:361–76.

    Article  CAS  Google Scholar 

  • Tolman DE. Reconstructive procedures with endosseous implants in grafted bone: a review of the literature. Int J Oral Maxillofac Implants. 1995;10:275–94.

    CAS  PubMed  Google Scholar 

  • Van der Berg JP, Ten Bruggenkate CM, Tuinzing DB. Preimplant surgery of the bony tissues. J Prosthet Dent. 1998;80:175–83.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giorgio De Santis .

Section Editor information

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

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

Policies and ethics

Chapter history

  1. 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

  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