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Functional Reconstruction of a Bilateral Maxillectomy Defect Using a Fibula Osteocutaneous Flap with Osseointegrated Implants

1995; Lippincott Williams & Wilkins; Volume: 96; Issue: 5 Linguagem: Inglês

10.1097/00006534-199510000-00032

1529-4242

Bin Nakayama, Hidehiro Matsuura, O Ishihara, Hiroshi Hasegawa, Izumi Mataga, Shuhei Torii,

Tracheal and airway disorders

We have achieved functional reconstruction for a bilateral upper alveolar bone, gingival, and palatal defect that has various problems originating from instability of the prosthesis using the fibula osteocutaneous flap with osseointegrated implants. The flap had three bone segments and two skin paddles. The combined bone segments created the upper alveolar arch, and the skin paddles closed the palatal defect. Nine months later, prosthodontic treatment was performed successfully. Our procedure restored the patient to masticatory function of the upper jaw, intelligible speech, and natural facial appearance. As a result, quality of life of the patient was extremely improved.