Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 524-529 , March 2010

Clinical Evaluation of Implants in Radiated Fibula Flaps

  • Thomas J. Salinas, DDS

      Affiliations

    • Associate Professor of Dentistry, Department of Prosthodontics, Mayo Clinic, Rochester, MN
    • ,
  • Valmont P. Desa, DDS, MD

      Affiliations

    • Private Practice, Oral and Maxillofacial Surgery, Omaha, NE
    • ,
  • Alexander Katsnelson, DMD, MS

      Affiliations

    • Resident, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, MA
    • ,
  • Michael Miloro, DMD, MD

      Affiliations

    • Professor and Head, Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Illinois at Chicago, Chicago, IL
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Miloro: Department of Oral and Maxillofacial Surgery, College of Dentistry, University of Illinois at Chicago, 801 S Paulina St (MC 835), Chicago, IL 60612

References 

  1. Boyd JB. Mandibular reconstruction in the young adult using free vascularized iliac crest. Microsurgery. 1988;9:141
  2. Hidalgo DA. Fibula free flap: A new method of mandible reconstruction. Plast Reconstr Surg. 1989;84:71
  3. Zlotolow IM, Huryn JM, Piro JD, et al. Osseointegrated implants and functional prosthetic rehabilitation in microvascular fibula free flap reconstructed mandibles. Am J Surg. 1992;164:677
  4. Marx RE, Ames JR. The use of hyperbaric oxygen therapy in bony reconstruction of the irradiated and tissue-deficient patient. J Oral Maxillofac Surg. 1982;40:412
  5. Marx RE, Ehler WJ, Tayapongsak P, et al. Relationship of oxygen dose to angiogenesis induction in irradiated tissue. Am J Surg. 1990;160:519
  6. Barber HD, Seckinger RJ, Hayden RE, et al. Evaluation of osseointegration of endosseous implants in radiated, vascularized fibula flaps to the mandible: A pilot study. J Oral Maxillofac Surg. 1995;53:640
  7. Granstrom G, Tjellstrom A, Branemark P-I, et al. Bone-anchored rehabilitation of irradiated head and neck cancer patient. Otolaryngol Head Neck Surg. 1993;108:334
  8. Granstrom G. Osseointegration in irradiated cancer patients: An analysis with respect to implant failures. J Oral Maxillofac Surg. 2005;63:579
  9. Colella G, Cannavale R, Pentenero M, et al. Oral implants in radiated patients: A systematic review. Int J Oral Maxillofac Implants. 2007;22:616
  10. Roumanas ED, Markowitz BL, Lorant JA, et al. Reconstructed mandibular defects: Fibula free flaps and osseointegrated implants. Plast Reconstr Surg. 1997;99:356
  11. Urken ML, Buchbinder D, Costantino PD, et al. Oromandibular reconstruction using microvascular composite flaps: Report of 210 cases. Arch Otolaryngol Head Neck Surg. 1998;124:46
  12. Jones NF, Swartz WM, Mears DC, et al. The “double barrel” free vascularized fibular bone graft. Plast Reconstr Surg. 1988;81:378
  13. Hurvitz KA, Kobayashi M, Evans GR. Current options in head and neck reconstruction. Plast Reconstr Surg. 2006;118:122
  14. Chiapasco M, Biglioli F, Autelitano L, et al. 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
  15. Brånemark PI, Adell R, Breine U, et al. Intra-osseous anchorage of dental prostheses (I. Experimental studies). Scand J Plast Reconstr Surg. 1969;3:81
  16. Adell R, Lekholm U, Rockler B, et al. 15-Year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981;10:387
  17. Zarb GA, Zarb FL. Tissue integrated dental prostheses. Quintessence Int. 1985;16:39
  18. Marx RE, Morales MJ. The use of implants in the reconstruction of oral cancer patients. Dent Clin North Am. 1998;42:177
  19. Weischer T, Mohr C. Ten-year experience in oral implant rehabilitation of cancer patients: Treatment concept and proposed criteria for success. Int J Oral Maxillofac Implants. 1999;14:521
  20. Tolman DE. Reconstructive procedures with endosseous implants in grafted bone: A review of the literature. Int J Oral Maxillofac Implants. 1995;10:275
  21. Curtis TA, Cantor R. The forgotten patient in maxillofacial prosthetics. J Prosthet Dent. 1974;31:662
  22. Garrett N, Roumanas ED, Blackwell KE, et al. Efficacy of conventional and implant-supported mandibular resection prostheses: Study overview and treatment outcomes. J Prosthet Dent. 2006;96:13
  23. Sclaroff A, Haughey B, Gay WD, et al. Immediate mandibular reconstruction and placement of dental implants: At the time of ablative surgery. Oral Surg Oral Med Oral Pathol. 1992;78:711
  24. Nelson K, Glatzer C, Hildebrand D, et al. Clinical evaluation of endosseous implants in nonvascularized fibula bone grafts for reconstruction of the severely atrophied mandibular bone. J Oral Maxillofac Surg. 2006;64:1427
  25. Kramer FJ, Dempf R, Bremer B. Efficacy of dental implants placed into fibula-free flaps for orofacial reconstruction. Clin Oral Implants Res. 2005;16:80
  26. Jaquiéry C, Rohner D, Kunz C, et al. Reconstruction of maxillary and mandibular defects using prefabricated microvascular fibular grafts and osseointegrated dental implants—A prospective study. Clin Oral Implants Res. 2004;15:598
  27. Watzinger F, Ewers R, Henninger A, et al. Endosteal implants in the irradiated lower jaw. J Craniomaxillofac Surg. 1996;24:237
  28. Smolka K, Kraehenbuehl M, Eggensperger N, et al. Fibula free flap reconstruction of the mandible in cancer patients: Evaluation of a combined surgical and prosthodontic treatment concept. Oral Oncol. 2008;44:571
  29. Albrektsson T, Zarb G, Worthington P, et al. The long-term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1:11
  30. Keller EE, Tolman D, Eckert S. Endosseous implant and autogenous bone graft reconstruction of mandibular discontinuity: A 12-year longitudinal study of 31 patients. Int J Oral Maxillofac Implants. 1998;13:767

PII: S0278-2391(09)01859-X

doi: 10.1016/j.joms.2009.09.104

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 524-529 , March 2010

Article Tools

* Image Usage & Resolution