An implant-supported prosthetic rehabilitation after a fibula free flap reconstruction should ne considered a valid solution in serected patients but the soft tissue complications, that often occur, could compromise the long-term success. The objectives of this study are: to evalutate the survival and success rates of implants placed in fibula-free flaps used to reconstruct maxillary and mandibular defects following surgical resection: to evaluate the differences between the clinical outcome of the native fibula-free flap and vertically distracted fibula-free flaps and the differences between the different kind of perimplants mucous. Implants placed in fibula free flaps were demonstrated to integrate normally, with an regular survival but lower success rate. We have marked bone resorption around the implants probably due to the formation of granulomatous tissue. We have a high number of complications of perimplant mucosa. Corrective soft tissues surgeries are required, careful peri-implant follow-up and the maintenance of oral hygiene is mandatory
Pellegrino G, Macchia MT, Lizio G, Corinaldesi G, Bianchi A, Marchetti C (2011). LOW IMPLANT SUCCESS IN FIBULA-FREE FLAPS: A LONG TERM RETROSPECTIVE RESULTS. Wiley and Blackwell.
LOW IMPLANT SUCCESS IN FIBULA-FREE FLAPS: A LONG TERM RETROSPECTIVE RESULTS
PELLEGRINO, GERARDO;LIZIO, GIUSEPPE;CORINALDESI, GIUSEPPE;BIANCHI, ALBERTO;MARCHETTI, CLAUDIO
2011
Abstract
An implant-supported prosthetic rehabilitation after a fibula free flap reconstruction should ne considered a valid solution in serected patients but the soft tissue complications, that often occur, could compromise the long-term success. The objectives of this study are: to evalutate the survival and success rates of implants placed in fibula-free flaps used to reconstruct maxillary and mandibular defects following surgical resection: to evaluate the differences between the clinical outcome of the native fibula-free flap and vertically distracted fibula-free flaps and the differences between the different kind of perimplants mucous. Implants placed in fibula free flaps were demonstrated to integrate normally, with an regular survival but lower success rate. We have marked bone resorption around the implants probably due to the formation of granulomatous tissue. We have a high number of complications of perimplant mucosa. Corrective soft tissues surgeries are required, careful peri-implant follow-up and the maintenance of oral hygiene is mandatoryI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
