The use of autogenous free vascularized fibula transplant for the correction of severe mandibular atrophy

Butsan S.B.

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

Bulat S.G.

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

Gileva K.S.

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

Salikhov K.S.

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

Khokhlachev S.B.

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

Arsenidze A.R.

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

Reshetun A.M.

Bureau of Forensic Medicine, Moscow, Russia

The use of autogenous free vascularized fibula transplant for the correction of severe mandibular atrophy

Authors:

Butsan S.B., Bulat S.G., Gileva K.S., Salikhov K.S., Khokhlachev S.B., Arsenidze A.R., Reshetun A.M.

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Journal: Stomatology. 2019;98(5): 32‑45

DOI: 10.17116/stomat20199805132

Downloaded: 88

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To cite this article:

Butsan SB, Bulat SG, Gileva KS, Salikhov KS, Khokhlachev SB, Arsenidze AR, Reshetun AM. The use of autogenous free vascularized fibula transplant for the correction of severe mandibular atrophy. Stomatology. 2019;98(5):32‑45. (In Russ.)
https://doi.org/10.17116/stomat20199805132

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The purpose of the study was to increase the effectiveness of surgical treatment and rehabilitation of patients with severe mandibular atrophy by means of autogenous free vascularized fibula transplant use with subsequent dental implants placement in the reconstructed mandible and implant-retained fixed dentures. In 2017 5 female patients underwent surgical treatment of severe mandibular atrophy with autogenous free vascularized fibula transplant in Maxillofacial Surgery department of CRID with additional nonvascularized iliac bone grafts and functional rehabilitation with implant-supported constructions in two of the cases. Due to its form, length and vascularization fibular bone represents a good plastic material for full length mandibular alveolar part reconstruction. The inclusion of the skin paddle in the autogenous free vascularized fibula transplant promotes secure primary closure of the surgical wound in the oral cavity. The use autogenous free vascularized fibula transplant in patients with severe mandibular atrophy with demands a thorough presurgical planning and intraoperative modeling.

Keywords:

severe mandibular atrophy

autogenous free vascularized fibula transplant

mandibular reconstruction

dental implantation

Authors:

Butsan S.B.

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

Bulat S.G.

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

Gileva K.S.

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

Salikhov K.S.

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

Khokhlachev S.B.

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

Arsenidze A.R.

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

Reshetun A.M.

Bureau of Forensic Medicine, Moscow, Russia

List of references:

Lekovic VA. A bone regenerative approach to alveolar ridge maintenance following tooth extraction. Report of 10 cases. J Periodontol. 1997;68(6):563-570.
Keller EE, Tolman DE, Eckert SE. Surgical-prosthodontic reconstruction of advanced maxillary bone compromise with autogenous onlay block bone grafts and osseointegrated endosseous implants: A 12-year study of 32 consecutive patients. Int J Oral Maxillofac Implants. 1999;14:197-209.
Becker W, Sennerby L, Bedrossian E, Becker BE, Lucchini JP. Implant stability measurements for implants placed at the time of extraction: A cohort, prospective clinical trial. J Periodontol. 2005;76:391-397. https://doi.org/10.1902/jop.2005.76.3.391
Leonhardt A, Grondahl K, Bergstrom C, Lekholm U. Long-term follow-up of Osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Implants Res. 2002;13:127-132.
Tallgren A. The continuing resorption of the residual alveolar ridges in complete denture wearers: a mixed longitudinal study covering 25 years. J Prosthet Dent. 1972;27:120-132.
Hermann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Maxillofac Implants. 2005;20:220-230.
Khoury F, Antoun H, Missika P. Bone augmentation in oral implantology. London: Quintessence publ; 2007.
Cawood JI, Howell RA. A classification of the edentulous jaws. Int Oral Maxillofac Surg. 1988;17(4):232-236.
Stellingsma C, Vissink A, Meijer HJA, Kuiper C, Raghoebar GM. Implantology and the severely resorbed edentulous mandible. Crit Rev Oral Biol Med. 2004;15(4):240-248.
Kan JY, Lozada JL, Boyne PJ, Goodacre CJ, Rungcharassaeng K. Mandibular fracture after endosseous implant placement in conjunction with inferior alveolar nerve transposition: a patient treatment report. Int J Oral Maxillofac Implants. 1997;12:655-659.
Chrcanovic BR, Custodio AL. Mandibular fractures associated with endosteal implants. Oral Maxillofac Surg. 2009;13(4):231-238.
Madsen MJ, Kushner GM, Alpert B. Failed fixation in atrophic mandibular fractures: the case against miniplates. Craniomaxillofac Trauma Reconstr. 2011;4:145-150.
Thomason JM, Kelly SA, Bendkowski A, Ellis JS. Two implant retained over-dentures: a review of the literature supporting the McGill and York consensus statements. J Dent. 2012;40:22-34. https://doi.org/10.1016/j.jdent.2011.08.017
Torroni A, Marianetti TM, Romandini M, Gasparini G, Cervelli D, Pelo S. Mandibular Reconstruction With Different Techniques. J Craniofac Surg. 2015;26:885-890. https://doi.org/101097/SCS.0000000000001411
Foster RD, Anthony JP, Sharma A, Pogrel MA. Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head and Neck. 1999;21:66-71.
Wallace CG, Chang YM, Tsai CY, Wei FC. Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction. Plast Reconstr Surg. 2010;125(1):305-314. https://doi.org/101097/PRS.0b013e3181c2bb9d
Gruber H, Solar P, Ulm C. Maxillomandibular anatomy and patterns of resorption during atrophy. In: Watzek G (eds). Endosseous implants: scientific and clinical aspects. Chicago: Quintessence; 1996.
Cordeiro PG, Disa JJ, Hidalgo DA, Hu QY. Reconstruction of the mandible with osseous free flaps: a 10-year experience with 150 consecutive patients. Plast Reconstr Surg. 1999;104:1314-1320.
Takushima A, Harii K, Asato H, Nakatsuka T, Kimata Y. Mandibular reconstruction using microvascular free flaps: a statistical analysis of 178 cases. Plast Reconstr Surg. 2001;108:1555-1563.
Day TA, Girod DA. Oral cavity reconstruction. New York: Taylor & Francis Group; 2006.
Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg. 1989;84:71.
Bähr W. Blood supply of small fibula segments: An experimental study on human cadavers. J Craniomaxillofac Surg. 1998;26:148.
Blanchaert RH. Comparison of the late results of mandibular reconstruction using nonvascularized or vascularized grafts and dental implants. J Oral Maxillofac Surg. 1999;57:950.
Sumi Y, Hasegawa T, Miyaishi O, Ueda M. Interface analysis of titanium implants in a human vascularised fibula bone graft. J Oral Maxillofac Surg. 2001;59:213.
Disa JJ, Hidalgo DA, Cordeiro PG, Winters RM, Thaler H. Evaluation of bone height in osseous free flap mandible reconstruction: an indirect measure of bone mass. Plast Reconstr Surg. 1999;103:1371.
Nocini PF, De Santis G, Bedogni A, Chiarini L. Simultaneous bimaxillary alveolar ridge augmentation by a single free fibular transfer: a case report. J Cranio Maxillofac Surg. 2002;30:46-53.
Munoz Guerra MF, Gias LN, Rodriguez Campo FJ, Diaz Gonzales FJ. Vascularised free fibula flap for mandibular reconstruction: a report of 26 cases. J Oral Maxillofac Surg. 2001;59:140-144.

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