Maxillofacial Plastic and Reconstructive Surgery

  • 제40권
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  • Pages.32.1-32.8
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  • 2018
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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Vertical distraction osteogenesis of a reconstructed mandible with a free vascularized fibula flap: a report of two cases

  • Saito, Naoaki (Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences) ;
  • Funayama, Akinori (Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences) ;
  • Arai, Yoshiaki (Temporomandibular Joint Clinic, Niigata University Medical and Dental Hospital) ;
  • Suda, Daisuke (Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences) ;
  • Takata, Yoshiyuki (Department of Oral and Maxillofacial Surgery, Niigata City General Hospital) ;
  • Kobayashi, Tadaharu (Division of Reconstructive Surgery for Oral and Maxillofacial Region, Department of Tissue Regeneration and Reconstruction, Course for Oral Life Science, Niigata University Graduate School of Medical and Dental Sciences)
  • 투고 : 2018.09.12
  • 심사 : 2018.09.18
  • 발행 : 2018.12.31
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초록

Background: The free vascularized fibula flap presents many advantages such as sufficient length of the bony segment, good vascularization, better quality of the bone, and a long vascular pedicle, but it is also associated with some disadvantages with regard to prosthetic rehabilitation because of its limited height. Improvement in bone height is necessary for ideal dental implant treatment of reconstructed mandibles. Case presentation: For two squamous cell carcinoma patients, mandibular bone reconstruction was performed secondarily with the peroneal flap after tumor resection. Since the bone height was insufficient at the time of implant treatment, occlusion reconstruction by dental implant was performed after vertical distraction osteogenesis. Conclusions: Vertical distraction osteogenesis is a suitable treatment option for alveolar ridge deficiency resulting from fibula transplantation for mandibular reconstruction following tumor surgery.

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참고문헌

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피인용 문헌

  1. Vertical mandibular bone augmentation by the osteodistraction of the transplanted fibula free flap: A case series with long-term follow-up vol.49, pp.11, 2018, https://doi.org/10.1016/j.jcms.2021.06.014