Publications by authors named "Meng-Kun Ding"

Objectives: The deep circumflex iliac artery flap (DCIA) and vascularized fibular free flap (FFF) are mainstay flaps for maxillary defect reconstruction. This study compared the functional outcomes and success rates of these flaps to provide midface reconstruction strategies.

Materials And Methods: Maxillary defects reconstructed with DCIA or FFF at the Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology between May 2016 and May 2023 were retrospectively analyzed.

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Article Synopsis
  • The study introduces a new approach to jaw reconstruction using the iliac flap for patients undergoing segmental mandibulectomy, termed "jaw-in-a-day" (JIAD), which allows for simultaneous restoration of bone and dental function.
  • Two cases of patients with ameloblastoma were documented, showcasing successful surgical planning and execution, where the iliac crest was modified to enhance implant stability.
  • Post-surgery outcomes showed satisfactory functionality and aesthetics, although one case required additional treatment for peri-implantitis, highlighting the need for further research and longer follow-ups on this technique.
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  • This study evaluated the accuracy of three different methods of dental implant placement (immediate intraoral, immediate extraoral, delayed) using surgical guides for patients who had undergone mandibular reconstruction.
  • The results showed that immediate intraoral placement had significantly greater deviations in angular and three-dimensional measurements compared to the other two methods, especially in terms of entry and apical points.
  • The conclusion suggests that delayed implant placement is the most accurate approach when using surgical guides in these patients.
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Purpose: The current standard for mandibular reconstruction is a contour-based approach using a fibular flap offering good cosmetic results but challenging to reconstruct using dental implants. An iliac flap is more amenable to implant placement and better suited for occlusion-driven reconstruction. We aimed to describe an occlusion-driven workflow that involves the use of digital surgical guides to perform mandibular reconstruction using an iliac flap; we also aimed to compare our results to those we achieved with conventional contour-based reconstruction.

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Objective: Midface reconstruction is challenging for functional and esthetic reasons. The present study analyzed the effect of virtual surgical planning (VSP) of the deep circumflex iliac artery (DCIA) flap for midface reconstruction.

Patients And Methods: Thirty-four patients who underwent midface reconstruction with the DCIA flap were included in this retrospective study.

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