Rehabilitation with endosseous implants in fibula free-flap mandibular reconstruction: A case series of up to 10 years
Rehabilitation with endosseous implants in fibula free-flap mandibular reconstruction: A case series of up to 10 years
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DOI：
10.1016/j.jcms.2012.07.006
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发表时间：
2013-03-01
影响因子：
3.1
通讯作者：
Brevi, B. C.
中科院分区：
文献类型：
--
作者：
Ferrari, S.;Copelli, C.;Brevi, B. C.
目的：评价游离腓骨瓣重建下颌骨的临床效果及美观和功能效果。材料与方法：回顾1998~2008年在意大利帕尔马颌面外科手术单位行游离腓骨瓣下颌骨重建及种植义齿修复的病例。结果：14例患者平均年龄50岁(15-63岁)，平均年龄50岁。共植入62颗种植体。术后发生并发症7例，大部分患者术后功能和美观均有改善。结论：游离腓骨瓣重建下颌骨的种植体成活率较高。尽管不同的因素被认为与较差的预后相关(放射治疗、复合体缺陷等)。未发现统计学意义，显示种植体放置没有绝对的挫伤。(C)2012年欧洲颅颌面部外科协会。爱思唯尔有限公司出版。保留所有权利。
Purpose: To evaluate the clinical outcome and the aesthetic and functional results of implant rehabilitation of fibula free-flap reconstructed mandibles.Materials and methods: The charts of patients who underwent mandibular reconstruction with fibula free flap and implant prosthodontic rehabilitation between 1998 and 2008 at the Operative Unit of Maxillofacial Surgery of Parma, Italy, were reviewed. In the study the estimated survival rates of implants placed in reconstructed mandibles we identified the prognostic factors and evaluated the functional outcomes.Results: Fourteen patients with a mean age of 50 years (range 15-63 years), were included in the study. A total of 62 implants were positioned. Complications occurred in 7 cases, an improvement in function and aesthetics was reported by the majority of patients.Conclusions: A high survival rate for implants placed in fibula free-flap reconstructed mandibles was observed. Although different factors were believed to be associated with a poorer prognosis (radiotherapy, composite defects, etc.) no statistically significance Was found, showing no absolute contrain-dications to implant placement. (C) 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.