OSSEOINTEGRATED IMPLANTS AND FUNCTIONAL PROSTHETIC REHABILITATION IN MICROVASCULAR FIBULA FREE FLAP RECONSTRUCTED MANDIBLES

被引：103

作者：

ZLOTOLOW, IM ^{[1
]}

HURYN, JM ^{[1
]}

PIRO, JD ^{[1
]}

LENCHEWSKI, E ^{[1
]}

HIDALGO, DA ^{[1
]}

机构：

[1] MEM SLOAN KETTERING CANC CTR,RECONSTRUCT SURG SERV,NEW YORK,NY 10021

来源：

AMERICAN JOURNAL OF SURGERY | 1992年 / 164卷 / 06期

关键词：

D O I：

10.1016/S0002-9610(05)80733-0

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The mandibulectomy deformity can be alleviated by immediate mandibular reconstruction using the microvascular fibula free flap. Before the advent of microvascular reconstruction, conventional and maxillofacial prosthetic rehabilitation offered limited success after surgery due to the failure to reestablish the bony foundation and soft tissues (tongue, floor of mouth, vestibule) anatomically and physiologically. With proper multidisciplinary pretreatment planning and postoperative treatment, osseointegrated implants can be strategically placed in patients with these reconstructed mandibles to restore occlusal and masticatory function. The records of seven patients who underwent reconstructive surgery and osseointegrated implants were reviewed, with an emphasis on the variety of prosthetic designs and principles used to maximize long-term efficiency and preservation of tissues.

引用

页码：677 / 681

页数：5

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