New approaches in jaw defect reconstruction with simultaneous maxillofacial rehabilitation

Gileva K.S.

Central Research Institute of Dental and Maxillofacial Surgery, Moscow, Russia

Adamian R.T.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN, Moskva;
Pervyĭ Moskovskoĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Arutyunov G.R.

Central Research Institute of Dental and Maxillofacial Surgery of the Ministry of Health of Russia, Moscow, Russia;
Petrovsky National Research Center of Surgery, Moscow, Russia

Zolotareva A.S.

Central Research Institute of Dental and Maxillofacial Surgery of the Ministry of Health of Russia, Moscow, Russia;
Petrovsky National Research Center of Surgery, Moscow, Russia

New approaches in jaw defect reconstruction with simultaneous maxillofacial rehabilitation

Authors:

Gileva K.S., Adamian R.T., Arutyunov G.R., Zolotareva A.S.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2020;(1): 30‑45

DOI: 10.17116/plast.hirurgia202001130

Downloaded: 156

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Gileva KS, Adamian RT, Arutyunov GR, Zolotareva AS. New approaches in jaw defect reconstruction with simultaneous maxillofacial rehabilitation. Plastic Surgery and Aesthetic Medicine. 2020;(1):30‑45. (In Russ.)
https://doi.org/10.17116/plast.hirurgia202001130

Close metadata

Recommended articles:

Monitoring the safety of medical devices in plastic surgery and cosmetology. Plastic Surgery and Aesthetic Medicine. 2024;(1):96-102

Bilateral LAP flap breast reconstruction: a case report. Plastic Surgery and Aesthetic Medicine. 2024;(2):51-60

Physical and mechanical properties of materials used in the technology of computer production of surgical templates. Stomatology. 2024;(1):8-11

Elimination of defects in the Schneiderian membrane during sinus lift operations. Stomatology. 2024;(1):31-34

Reparative potential of bone tissue and associated influencing factors. Stomatology. 2024;(2):41-49

Assessment of the condition of organs and tissues of the oral cavity in people with dentition defects against the background of metabolic syndrome. Stomatology. 2024;(3):31-38

Teeth autotransplantation as an alternative to dental implantation. Stomatology. 2024;(3):59-66

Modern physical status classification system of patients for dentists. Russian Journal of Stomatology. 2024;(2):7-16

Features of the oral microbiota in patients with type II diabetes in the background of dental implantation. Russian Journal of Stomatology. 2024;(2):21-26

The use of «growing» endoprostheses in the complex treatment of children with post-resection mandibular defects. Stomatology. 2024;(4):10-19

Objective. To modernize virtual planning and surgical intervention for simultaneous complete rehabilitation of patients with benign neoplasms or defects of the jaws. Material and methods. There were 4 patients aged 17—41 years with benign tumors (myxoma, ameloblastoma) and defects (total, unilateral) of the lower jaw for the period from August 2018 to 2019. Comprehensive modified approach with complete maxillofacial rehabilitation was used in all cases. This approach consisted of simultaneous resection of the neoplasm of the upper or lower jaws, translocation of pedicled fibular flap, modeling of the bone part with simultaneous implantation of dental implants, installation of prosthetic design, fixation of the complex composite flap within the recipient area with introduction of prosthetic design into the bite. Long-term follow-up was 1 year 2 months. Results and conclusion. A comprehensive technique including surgical intervention and complete maxillofacial rehabilitation has been shown to be effective in patients with benign neoplasms or defects of the jaws. Complete recovery was observed in all patients. Normal bite and restoration of masticatory function was obtained in all cases too.

Keywords:

tissue transplantation

microsurgery

plastic surgery

dentistry

dental implantation

orthopedic dentistry

maxillofacial rehabilitation

Authors:

Gileva K.S.

Central Research Institute of Dental and Maxillofacial Surgery, Moscow, Russia

Adamian R.T.

Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. B.V. Petrovskogo RAMN, Moskva;
Pervyĭ Moskovskoĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova Minzdravsotsrazvitiia RF

Arutyunov G.R.

Central Research Institute of Dental and Maxillofacial Surgery of the Ministry of Health of Russia, Moscow, Russia;
Petrovsky National Research Center of Surgery, Moscow, Russia

Zolotareva A.S.

Central Research Institute of Dental and Maxillofacial Surgery of the Ministry of Health of Russia, Moscow, Russia;
Petrovsky National Research Center of Surgery, Moscow, Russia

List of references:

Verbo EV, Nerobeev AI. Facial reconstruction using revascularized free flaps. M.: Medicina; 2008. (In Russ.)
Bucan SB, Verbo EV, Nerobeev AI, Kulakov AA, Gvetadze RSh, Hohlachev SB, Jigitaliev ShN, Gileva KS, Suharskij II, Chernen’kij MM, Arsenidze AR. Opyt hirurgicheskogo lecheniya i reabilitacii pacientov s ameloblastomoj chelyusti. Annaly plasticheskoj, rekonstruktivnoj i esteticheskoj hirurgii. 2013;1:35-45. (In Russ.)
Verbo EV. Vozmozhnosti primeneniya revaskulyarizirovannyh autotransplantatov pri plasticheskom ustranenii kombinirovannyz defektov lica: Dis... d-ra med nauk. M. 2005. (In Russ.)
Levine JP, Bae JS, Soares M, Brecht LE, Saadeh PB, Ceradini DJ, Hirsch DL. Jaw in a Day: Total Maxillofacial Reconstruction Using Digital Technology. Plast Reconstr Surg. 2013;131:1386.
Chang YM, Wallace CG, Hsu YM, Shen YF, Tsai CY, Wei FC. Outcome of osseointegrated dental implants in double-barrel and vertically distracted fibula osteoseptocutaneous free flaps for segmental mandibular defect reconstruction. Plast Reconstr Surg. 2014;134(5):1033-1043.
Saadoun AP, LeGall ML. Clinical results and guidelines on Steri-Oss endosseous implants. Int J Periodontics Restorative Dent. 1992;12:486-495.
Chiapasco M, Biglioli F, Autelitano L, Romeo E, Brusati R. Clinical outcome of dental implants placed in fibula-free flaps used for the reconstruction of maxillo-mandibular defects following ablation for tumors or osteoradionecrosis. Clin Oral Implants Res. 2006;17:220-228.
Ma K, Feng YY, Sun Y, Shang W, Liu J, Bai N, Hua X, Qiang KY, Za XZ. Overdenture restoration after mandibular fibular graft combined with dental implant surgery: a case report. West China Journal of Stomatology. 2019;37(3):336-342.
Patel A, Harrison P, Cheng A, Bray B, Bell RB. Fibular Reconstruction of the Maxilla and Mandible with Immediate Implant-Supported Prosthetic Rehabilitation: Jaw in a Day. Oral Maxillofac Surg Clin North Am. 2019;31(3):369-386.
Allen RJ Jr, Shenaq DS, Rosen EB, Patel SG, Ganly I, Boyle JO, Nelson JA, Matros E. Immediate Dental Implantation in Oncologic Jaw Reconstruction: Workflow Optimization to Decrease Time to Full Dental Rehabilitation. Plast Reconstr Surg Glob Open. 2019;7(1):2100.
Patel SY, Kim DD, Ghali GE. Maxillofacial Reconstruction Using Vascularized Fibula Free Flaps and Endosseous Implants. Oral Maxillofac Surg Clin North Am. 2019;31(2):259-284.
Awad ME, Altman A., Elrefai R, Shipman P, Looney S, Elsalanty M. The use of vascularized fibula flap in mandibular reconstruction; A comprehensive systematic review and meta-analysis of the observational studies. Craniomaxillofac Surg. 2019;47(4):629-641.
Attia S, Wiltfang J, Streckbein P, Wilbrand JF, El Khassawna T, Mausbach K, Howaldt HP, Schaaf H. Functional and aesthetic treatment outcomes after immediate jaw reconstruction using a fibula flap and dental implants. Craniomaxillofac Surg. 2019;47(5):786-791.

Close metadata