OSSEOINTEGRATED IMPLANTS AND FUNCTIONAL PROSTHETIC REHABILITATION IN MICROVASCULAR FIBULA FREE FLAP RECONSTRUCTED MANDIBLES
OSSEOINTEGRATED IMPLANTS AND FUNCTIONAL PROSTHETIC REHABILITATION IN MICROVASCULAR FIBULA FREE FLAP RECONSTRUCTED MANDIBLES
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DOI：
10.1016/s0002-9610(05)80733-0
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发表时间：
1992-12-01
影响因子：
3
通讯作者：
HIDALGO, DA
中科院分区：
文献类型：
--
作者：
ZLOTOLOW, IM;HURYN, JM;HIDALGO, DA
下颌骨切除畸形可以通过使用微血管腓骨游离皮瓣立即重建下颌骨来缓解。 在微血管重建出现之前，由于无法在解剖学和生理学上重建骨基础和软组织（舌头、口底、前庭），传统和颌面假肢康复在术后的成功率有限。 通过适当的多学科预处理计划和术后治疗，可以策略性地将骨整合种植体植入这些重建下颌骨的患者中，以恢复咬合和咀嚼功能。 对七名接受重建手术和骨整合种植体的患者的记录进行了审查，重点是用于最大限度地提高长期效率和保存组织的各种假体设计和原则。
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.