Journal of International Society for Simulation Surgery

International Society for Simulation Surgery (국제컴퓨터가상수술학회)
권호 표지
DOI QR코드

DOI QR Code

Maxillary Reconstruction with Free Fibular Flap using 3D RP Model

  • Ahn, Kang-Min (Department of oral and maxillofacial surgery, College of medicine, University of Ulsan, Asan medical center) ;
  • Kim, Jong-Jin (Department of prosthodontics, Asan medical center)
  • Received : 2014.07.06
  • Accepted : 2014.07.15
  • Published : 2014.07.19
Download PDF
⟨ Previous Next ⟩

Abstract

Reconstruction of the maxilla is quite a difficult challenge for reconstructive surgeons. The maxilla is the most important part of the midface, which contributes to facial esthetics, mastication, swallowing, speech, supporting orbital contents and sinus function. Free fibular flap is most versatile to reconstruct jaw bone because of its adequate length, containing both soft and bony tissues and acceptance of dental implants. In this case report, a reconstruction of the maxilla using free fibular flap and dental implants is described in which rapid prototype was used before surgery to simulate the final prosthetic results.

Keywords

References

  1. Gbara A, Darwich K, Li L, Schmelzle R, Blake F. Long-term results of jaw reconstruction with microsurgical fibula grafts and dental implants. J Oral Maxillofac Surg 2007;65:1005-1009 https://doi.org/10.1016/j.joms.2006.06.294
  2. Yetzer J, Fernandes R. Reconstruction of orbitomaxillary defects. J Oral Maxillofac Surg 2013;71:398-409 https://doi.org/10.1016/j.joms.2012.04.035
  3. Fierz J, Hallermann W, Mericske-Stern R. Patients with oral tumors. Part 1: Prosthetic rehabilitation following tumor resection. Schweiz Monatsschr Zahnmed 2013;123:91-105
  4. Lee JH, Kim MJ, Choi WS, Yoon PY, Ahn KM, Myung H et al. Concomitant reconstruction of mandibular basal and alveolar bone with a free fibular flap. Int J Oral Maxillofac Surg 2004;33:150-156 https://doi.org/10.1054/ijom.2003.0487
  5. Hidalgo DA. Fibula free flap: A new method of mandible reconstruction. Plast Reconstr Surg 1989;84:71-79 https://doi.org/10.1097/00006534-198907000-00014
  6. Rude K, Thygesen TH, Sorensen JA. Reconstruction of the maxilla using a fibula graft and virtual planning techniques. BMJ Case Rep 2014;2014
  7. Nkenke E, Eitner S. Complex hemimaxillary rehabilitation with a prefabricated fibula flap and cast-based vacuum-formed surgical template. J Prosthet Dent 2014;111:521-524 https://doi.org/10.1016/j.prosdent.2013.07.028
  8. Okay DJ, Buchbinder D, Urken M, Jacobson A, Lazarus C, Persky M. Computer-assisted implant rehabilitation of maxillomandibular defects reconstructed with vascularized bone free flaps. JAMA Otolaryngol Head Neck Surg 2013;139:371-381 https://doi.org/10.1001/jamaoto.2013.83
  9. Dawood A, Tanner S, Hutchison I. Computer guided surgery for implant placement and dental rehabilitation in a patient undergoing sub-total mandibulectomy and microvascular free flap reconstruction. J Oral Implantol 2013;39:497-502 https://doi.org/10.1563/AAID-JOI-D-11-00142
  10. Hakim SG, Kimmerle H, Trenkle T, Sieg P, Jacobsen HC. Masticatory rehabilitation following upper and lower jaw reconstruction using vascularised free fibula flap and enossal implants-19 years of experience with a comprehensive concept. Clin Oral Investig 2014
  11. He Y, Zhang ZY, Zhu HG, Wu YQ, Fu HH. Double-barrel fibula vascularized free flap with dental rehabilitation for mandibular reconstruction. J Oral Maxillofac Surg 2011;69:2663-2669 https://doi.org/10.1016/j.joms.2011.02.051
  12. Jambhekar SS, Kheur MG, Dandagi S, Matani JD, Sethi S, Kheur SM. Total mandibular reconstruction and rehabilitation: A case report. J Oral Implantol 2014
  13. Mertens C, Decker C, Engel M, Sander A, Hoffmann J, Freier K. Early bone resorption of free microvascular reanastomized bone grafts for mandibular reconstruction-a comparison of iliac crest and fibula grafts. J Craniomaxillofac Surg 2014;42:e217-223 https://doi.org/10.1016/j.jcms.2013.08.010
  14. Ooi A, Feng J, Tan HK, Ong YS. Primary treatment of mandibular ameloblastoma with segmental resection and free fibula reconstruction: Achieving satisfactory outcomes with low implant-prosthetic rehabilitation uptake. J Plast Reconstr Aesthet Surg 2014;67:498-505 https://doi.org/10.1016/j.bjps.2014.01.005
  15. Peng X, Mao C, Yu GY, Guo CB, Huang MX, Zhang Y. Maxillary reconstruction with the free fibula flap. Plast Reconstr Surg 2005;115:1562-1569 https://doi.org/10.1097/01.PRS.0000160691.63029.74
  16. Raoul G, Ruhin B, Briki S, Lauwers L, Haurou Patou G, Capet JP et al. Microsurgical reconstruction of the jaw with fibular grafts and implants. J Craniofac Surg 2009;20:2105-2117 https://doi.org/10.1097/SCS.0b013e3181bec611
  17. Shen YF, Rodriguez ED, Wei FC, Tsai CY, Chang YM. Aesthetic and functional mandibular reconstruction with immediate dental implants in a free fibular flap and a low-profile reconstruction plate: Five-year follow-up. Ann Plast Surg 2013
  18. Smolka K, Kraehenbuehl M, Eggensperger N, Hallermann W, Thoren H, Iizuka T et al. Fibula free flap reconstruction of the mandible in cancer patients: Evaluation of a combined surgical and prosthodontic treatment concept. Oral Oncol 2008;44:571-581 https://doi.org/10.1016/j.oraloncology.2007.07.005