|
KMID : 1038220220490050652
|
|
Archives of Plastic Surgery
2022 Volume.49 No. 5 p.652 ~ p.655
|
|
|
Maxillo-mandibular Defect Reconstruction with Bilateral Free Fibula Flaps with Dental Implant Placement and Immediate Loading: A Case Report of the Three-team Approach
|
|
Nazarian David
Dikarev Aleksei
Mokhirev Mikhail
Zakharov Georgy
Fedosov Alexander
Potapov Maksim
Chernenkiy Mikhail
Vasilev Yuriy
Kyalov Grigoriy
Chausheva Saniyat
Khachatryan Arbak
Tevosyan Artur
Arakelyan Gevorg
|
|
|
Abstract
|
|
|
|
Patients with advanced malignant tumors, including both jaws, is a challenging task for a head and neck surgeon. Current treatment landscape demonstrates good functional, anatomical, and aesthetic results in patients who could previously receive only palliative care. The extensive tissue defects resulting from oncological resections in the head and neck region require immediate reconstruction due to the exposure of vital structures and their contact with the external environment. A patient was operated using a three-team multidisciplinary approach involving simultaneous work of three specialized teams of maxillofacial and reconstructive microsurgeons, as well as an implantologist and a prosthodontist. This approach allowed simultaneous tumor resection with subsequent reconstruction of the intraoperative defect involving bilateral harvesting of two revascularized free fibular osteomusculocutaneous flaps with dental implantation and simultaneous rehabilitation of dentition with crowns.
|
|
|
KEYWORD
|
|
|
jaw defect, fibula flap, bilateral harvesting, case report, three-team approach
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|