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Maxillofacial Reconstruction Using Vascularized Fibula Free Flaps and Endosseous Implants
Stavan Y Patel1, Dongsoo D Kim1, Ghali E Ghali1
1Division of Head and Neck Oncology and Microvascular Reconstructive Surgery, Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Science Center, 1501 Kings Highway, Shreveport, LA 71103, USA.
Oral and Maxillofacial Surgery Clinics of North America
|March 9, 2019
Summary
Maxillofacial reconstruction with vascularized fibula free flaps and endosseous implants significantly enhances patient function and quality of life. This complex procedure requires careful planning and collaboration for optimal results.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Biomaterials Science
Background:
- Maxillofacial defects present significant functional and aesthetic challenges.
- Vascularized fibula free flaps offer a robust solution for complex bone reconstruction.
- Endosseous implants provide a stable foundation for prosthetic rehabilitation.
Purpose of the Study:
- To outline the goals and requirements for maxillofacial subunit reconstruction.
- To review patient selection criteria for this advanced technique.
- To discuss critical factors influencing successful outcomes.
Main Methods:
- Examination of current data on flap selection and irradiation effects.
- Analysis of primary versus secondary implant placement strategies.
- Evaluation of virtual surgical planning, soft-tissue management, and prosthesis fabrication.
Main Results:
- Vascularized fibula free flap and endosseous implant reconstruction profoundly improves patient function, form, and quality of life.
- Careful consideration of flap choice, irradiation, implant timing, and surgical planning is essential.
- Successful outcomes depend on meticulous soft-tissue management and prosthesis design.
Conclusions:
- Maxillofacial reconstruction with vascularized fibula free flaps and endosseous implants is a viable and effective treatment modality.
- Optimal and stable long-term outcomes are achieved through meticulous planning, communication, and collaboration.
- This multidisciplinary approach is critical for restoring function and aesthetics in complex maxillofacial defects.
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