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Maxillofacial reconstruction with prefabricated prelaminated osseous free flaps.
ANZ J Surg
March 2021
Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.
Background: The prefabricated fibula flap is an advanced method of occlusal-based reconstruction that combines placement of osseointegrated dental implants with prelamination, using a split skin graft on the fibula, weeks prior to the definitive reconstruction. This approach is resource intensive but has several advantages including eliminating the delay from reconstruction to dental rehabilitation.
Methods: A retrospective cohort study of all prefabricated fibula flaps used for mandible and maxillary reconstruction from 2012 to 2020 was performed.
A shift from the osteocutaneous fibula flap to the prelaminated osteomucosal fibula flap for maxillary reconstruction.
Plast Reconstr Surg
November 2012
Mexico City, Mexico From the Department of Plastic and Reconstructive Surgery, Division of the Medical School, Universidad Nacional Autónoma de México, Hospital General Dr. Manuel Gea González.
Background: Reconstruction of the maxilla with the fibula free flap is a popular and well-described technique. The ideal intraoral lining would be mucosa, which is moist, thin, and non-hair-bearing. Prelamination of the fibula with buccal mucosa replaces like tissue with like tissue, obviates the need for a skin paddle, and facilitates placement of osseointegrated implants in a single stage.
View Article and Find Full Text PDFReconstruction of the maxilla with prefabricated scapular flaps in noma patients.
Plast Reconstr Surg
June 2008
Vienna, Austria From the Department of Plastic and Reconstructive Surgery, Wilhelminenspital Vienna, and the Department of Oral and Maxillofacial Surgery, Evangelisches Krankenhaus Vienna.
Background: Noma (cancrum oris) is a devastating gangrenous disease that leads to severe tissue destruction in the face and is associated with a high rate of mortality. When untreated, it results in disfiguring midface defects and severe scarring. Ideal reconstruction of complex maxillofacial defects requires the restitution of bone, dental implants, soft tissue, and the thin and durable lining of the oral and paranasal cavities.
View Article and Find Full Text PDFPrelaminated osseointegrated fibula free flap for the repair of a rare congenital maxillary deficiency.
Plast Reconstr Surg
September 2003
Department of Plastic and Reconstructive Surgery, Christchurch Hospital, New Zealand.
The dermis-prelaminated scapula flap for reconstructions of the hard palate and the alveolar ridge: a clinical and histologic evaluation.
Plast Reconstr Surg
November 2001
Department of Plastic and Reconstructive Surgery, Wilhelminenspital, Vienna, Austria.
Ideal reconstructions of complex defects in the midface require the restitution not only of bone and soft tissue, but also of a thin and durable lining of the oral cavity. So far, split-thickness skin grafts, intestinal grafts, and in vitro cultured mucosal grafts have been used for the reconstruction of the oral lining. The use of skin as a substitute for oral mucosa is controversial because contraction, hair growth, maceration, and dysplastic changes can occur.
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