Osseointegrated implant-based dental rehabilitation in head and neck reconstruction patients
Osseointegrated implant-based dental rehabilitation in head and neck reconstruction patients
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DOI：
10.1002/hed.23993
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发表时间：
2016-04-01
影响因子：
2.9
通讯作者：
Hanasono, Matthew M.
中科院分区：
文献类型：
--
作者：
Ch'ng, Sydney;Skoracki, Roman J.;Hanasono, Matthew M.
背景。牙齿修复是头颈癌重建的一个组成部分。方法。我们评估了头颈癌患者骨整合种植体的成功率，比较了放置在腓骨游离皮瓣中的种植体与放置在天然下颌骨和上颌骨中的种植体之间的结果。结果。 246 名患者总共植入了 1132 个种植体。总体种植体丢失率为 3.7%，腓骨瓣 (8.2%) 的种植体丢失率高于原生下颌骨 (2.6%) 和上颌骨 (2.2%)，但这些差异并未达到统计学显着性（分别为 p = .059 和 p = .053）。放疗后植入的植入物的失败率为 8.0%，未接受放疗的患者的失败率为 3.6% (p = .097)。种植体植入后，19 名患者 (7.7%) 发生放射性骨坏死 (ORN)，吸烟被发现是一个危险因素 (p = .027)。结论。骨整合种植体对于头颈癌患者（包括接受游离骨瓣重建的患者）来说是可靠的。 (C) 2015 年 Wiley 期刊公司。
Background. Dental restoration is an integral part of head and neck cancer reconstruction.Methods. We evaluated the success rate of osseointegrated implants in patients with head and neck cancer, comparing outcomes between implants placed in fibula free flaps to those placed in native mandibular and maxillary bone.Results. A total of 1132 implants were placed in 246 patients. The overall implant loss rate was 3.7% and was higher in fibula flaps (8.2%) compared to the native mandible (2.6%) and maxilla (2.2%), although these differences did not reach statistical significance (p = .059 and p = .053, respectively). The failure rate was 8.0% for implants placed after radiation and 3.6% in patients who did not undergo radiation (p = .097). Osteoradionecrosis (ORN) occurred in 19 patients (7.7%) after implant placement, and tobacco use was found to be a risk factor (p = .027).Conclusion. Osseointegrated implants are reliable in patients with head and neck cancer, including those undergoing bony free flap reconstruction. (C) 2015 Wiley Periodicals, Inc.