Publications by authors named "Christian Brandtner"

Article Synopsis
  • Defects in the maxillary and mandibular alveolar ridges are common, and the gold standard treatment involves reconstructing these areas with microvascular bone grafts followed by dental rehabilitation.
  • A study analyzed the quality of life (QoL) of 58 patients post-reconstruction, finding that those with malignant diseases and osteoradionecrosis reported poorer oral health-related QoL (OHrQoL) scores compared to those with benign diseases or cleft palate.
  • Patients using implant-supported prostheses had the highest QoL scores, while those with removable dentures or no prosthetics had the lowest, indicating that both the type of underlying condition and the type of prosthetic used significantly affect QoL after treatment.
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: Dental rehabilitation after extended tumour resection and jaw reconstruction is challenging. The present study aimed to report the prosthetic outcome and quality of life (QoL) in patients with head and neck cancer (HNC) after microvascular alveolar ridge reconstruction. : The prosthetic outcomes of all consecutive patients with HNC who underwent microvascular alveolar ridge reconstruction at the University Hospital Salzburg between 2011 and 2018 were investigated.

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Multiple mandibular fractures with condylar involvement are challenging to treat. This article presents a series of steps to simplify the treatment and improve the outcomes in open reduction and internal fixation of multiple mandibular fractures with condylar involvement. Four new elements are identified: three-dimensional printing, model surgery, Kirschner wires to manipulate the segments in condylar fractures, and a top-to-bottom sequence.

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The authors report a patient with masticator space abscess due to an ascending infection following a wisdom tooth extraction. They administered antibiotics and did an incision and drainage; however, osteomyelitis of the mandible and compartment syndrome of the temporal muscle complicated the course. The authors suggest a physiopathology and discuss the management of this study.

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We deal regularly with patients who present with severe atrophy of the jaws, compromised soft tissue, or penetrating defects of the alveolar ridge that are not the result of malignant disease. For these patients we use microvascular bony flaps together with dental implants and implant-supported prostheses. The purpose of this retrospective study was to present our current management and the lessons we have learned over a 16-year period while treating 86 patients for these indications with 87 microvascular bone flaps.

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We have assessed the role of the medial femoral condylar flap in 107 patients who had reconstructions of the head and neck. We retrospectively reviewed their medical records for indications, complications, and outcomes. The flap was primarily used for coverage of alveolar ridge defects (n=67), secondly for defects of the facial bone, calvaria, or skull base (n=35), and thirdly for partial laryngeal defects (n=5).

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Introduction: New techniques in microvascular flap transfer result in new indications for reconstructive treatment of facial defects. In this study, the indications and success rate of an intraoral anastomosing technique in facial reconstruction were examined.

Methods: Seventy patients with intraoral defects or central midface defects were reconstructed with the use of microvascular flaps.

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Introduction: Two-jaw surgery has become the standard procedure for correcting skeletal maxillo-mandibular discrepancies in adults. However, only a few studies have reported on the long-term stability of bimaxillary orthognathic surgery in patients with Class II malocclusion and transverse discrepancies. In this study, the long-term outcome of two-piece maxillary treatment during bimaxillary surgery in patients with skeletal Class II malocclusion was examined and the results are discussed.

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Purpose: To present a new technique for sandwich osteoplasty in the posterior mandible and to evaluate its feasibility as part of dental implant treatment.

Materials And Methods: A retrospective study of sandwich osteoplasty in the posterior mandible was conducted. No osteosynthetic material was used to stabilize the osteotomy.

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The role of the titanium functionally dynamic bridging plate (TFDBP) in the fracture treatment of the severely atrophic mandible was assessed retrospectively. In 28 consecutive patients with fractures of a severely atrophic mandible fixation was carried out with TFDBPs. Twenty-one patients with 27 fractures were included in the study and then followed up for complications and the progress of fracture healing for 17 months postoperatively on average.

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We report the first clinical use of a free microvascular thenar flap for reconstruction of intraoral soft tissues. In 9 patients with a recurrent oral squamous cell carcinoma (SCC), a new primary oral SCC, or a defect of the hard palate after radiotherapy, we covered the soft tissue defect, after resection of the tumour or local preparation, with a microvascular thenar flap. All patients had had combined resection and irradiation for treatment of the initial tumour.

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