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- Title
Esthetic and functional reconstruction of large mandibular defects using free fibula flap and implant-retained prosthetics - a case series with long-term follow-up.
- Authors
Sass, Tamás; Piffkó, József; Braunitzer, Gábor; Oberna, Ferenc
- Abstract
Background: The reconstructive and rehabilitative management of large mandibular defects with basal continuity is challenging in many respects, especially in the vertical dimension. The free fibula flap is an under-utilised but efficient approach in this indication. The aim of this case series is to demonstrate its use and long-term success. Case presentation: Three cases are presented, where the patient had a large bone defect (at least 5 cm in length and 1 cm in the vertical dimension), but the continuity of the mandible was maintained. Two cases were related to pathological fracture and one was a large defect due to oncological surgery. Vertical augmentation with free microvascularised fibula flap was carried out, followed by implant-retained prosthetic therapy. Clinical status has been followed up for 5 to 6 years, with special attention to the condition of the peri-implant tissues and any radiographically detectable alterations or complications. No complications occurred during the follow-up. Function and esthetics have remained unchanged throughout. Conclusions: Free microvascularised fibula flap reconstruction combined with implant-retained prosthetics allows a lasting functional and esthetic solution in the discussed indication.
- Subjects
PROSTHETICS; FREE flaps; MANDIBLE surgery; ONCOLOGIC surgery; SPONTANEOUS fractures; FIBULA; PLASTIC surgery; MANDIBLE
- Publication
Head & Face Medicine, 2021, Vol 17, Issue 1, p1
- ISSN
1746-160X
- Publication type
Article
- DOI
10.1186/s13005-021-00297-9