Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Maxillo-mandibular Defect Reconstruction with Bilateral Free Fibula Flaps with Dental Implant Placement and Immediate Loading: A Case Report of the Three-team Approach

  • Nazarian, David (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Dikarev, Aleksei (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Mokhirev, Mikhail (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Zakharov, Georgy (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Fedosov, Alexander (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Potapov, Maksim (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Chernenkiy, Mikhail (Maxillofacial and Reconstructive Surgery Department, NK Clinic) ;
  • Vasilev, Yuriy (Radiology Department, Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies) ;
  • Kyalov, Grigoriy (Maxillofacial and Reconstructive Surgery Department, NK Clinic) ;
  • Chausheva, Saniyat (Plastic Surgery Department, FSBI NMRCO FMBA) ;
  • Khachatryan, Arbak (Maxillofacial and Reconstructive Surgery Department, FSBI NMRCO FMBA) ;
  • Tevosyan, Artur (Department of clinical medicine, International School "Medicine of the Future", Sechenov University) ;
  • Arakelyan, Gevorg (Department of clinical medicine, International School "Medicine of the Future", Sechenov University)
  • Received : 2021.12.16
  • Accepted : 2022.02.17
  • Published : 2022.09.15
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Abstract

Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.

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References

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