Statement Of Problem: Mandibular reconstruction with a microvascular free fibula flap is widely used after oncologic resection because it allows functional and esthetic restoration of the mandibular arch and implant-retained prostheses.
Purpose: The purpose of this study was to highlight the results that can be expected from an implant-supported prosthesis on a free fibula flap.
Material And Methods: Patients treated with a microvascular free fibula flap and rehabilitated prosthetically were included.
Mandibular reconstruction by microvascular free fibula flap has dramatically improved the quality of life of patients treated by interruptive surgery. A simple prosthesis can be used for dental rehabilitation but in many cases, these prostheses remain nonfunctional. The use of osseointegrated implants restores both function and aesthetics.
View Article and Find Full Text PDFPurpose: Reconstructive surgery in oral cancer patients uses thick flaps, which may render the placement of miniscrews for stabilizing radiosurgical templates difficult. The realization of noninvasive systems for the repositioning of surgical templates has been proposed. The present study aimed to assess the clinical usefulness of these noninvasive repositioning systems.
View Article and Find Full Text PDFBackground: In external radiotherapy, the use of leaded intraoral devices to shield adjacent tissues is well described, but stabilization of the mandible is often realized with standard bite blocks, which do not allow a good stabilization of the mandible.
Methods And Results: A 40-year-old patient presenting with a local recurrence of a tumor of the floor of the mouth underwent external radiotherapy. To shield the maxilla during mandibular irradiation and to ensure mandible and tongue immobility during external radiotherapy, a custom-made device was realized.