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Functional reconstruction after a total maxillectomy using a fibula osteocutaneous flap with osseointegrated implants
Y Kazaoka1, A Shinohara, K Yokou
1Department of Oral and Maxillofacial Surgery, Aichi Medical University, Nagoya, Japan.
Plastic and Reconstructive Surgery
|March 24, 1999
Abstract:
The fibula osteocutaneous flap with osseointegrated implants was used for reconstruction of a total maxillectomy defect. We have achieved satisfactory reconstruction of three-dimensional facial structure, orbit support, and a functional prosthesis. Our procedure restored the patient's masticatory function of the maxilla and enabled good speech and a natural facial appearance. A very high quality of function was obtained without any complications, but long-term follow-up is necessary for maintenance of the implants.