EdenteV2, Main, Exploration, bibRecord, 003E77

Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation

Identifieur interne : 003E77 ( Main/Exploration ); précédent : 003E76; suivant : 003E78

Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation

Auteurs : Johannes T. M. Van Gemert [Pays-Bas] ; Robert J. J. Van Es [Pays-Bas] ; Antoine J. W. P. Rosenberg [Pays-Bas] ; Andries Van Der Bilt [Pays-Bas] ; Ron Koole [Pays-Bas] ; Ellen M. Van Cann [Pays-Bas]

Source :

Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2012.

RBID : Pascal:12-0278886

Descripteurs français

Pascal (Inist)
- Reconstruction anatomique, Chirurgie, Lambeau libre, Mandibule, Complication, Dent, Réadaptation, Stomatologie, Traitement.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Anatomical reconstruction, Complication, Free flap, Mandible, Rehabilitation(human), Stomatology, Surgery, Tooth, Treatment.

Abstract

Purpose: To evaluate complications and success of mandibular reconstruction with free fibula flaps, iliac crest flaps, and forearm flaps with reconstruction plates and to evaluate dental rehabilitation after these reconstructions. Patients and Methods: Eighty-three patients with segmental mandibular defects were included. Correlation analyses were used to determine the relationship between reconstruction type and clinical parameters with recipient-site complications and success. The dental rehabilitation was evaluated in successfully reconstructed survivors. Results: Multivariate analyses showed significant correlations between flap type and success (P < .0001). Of the patients, 51 (61%) were alive 2 years after the reconstruction. Mandibular reconstruction with a free forearm flap and reconstruction plate was associated with higher complication rates at the recipient site and higher failure rates compared with reconstruction with free vascularized bone flaps. Of the 32 successfully reconstructed survivors, 14 (44%) had a complete dental rehabilitation, of which 10 had dental implants and 4 did not. Only 6 (29%) of the edentuous survivors ultimately had an implant-supported prosthesis. Conclusions: Reconstruction of the mandible with a free vascularized bone flap is superior to reconstruction with a free forearm flap with a reconstruction plate. Complete dental rehabilitation was reached in fewer than half of the surviving patients.

Affiliations:

Links toward previous steps (curation, corpus...)

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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anatomical reconstruction</term>
<term>Complication</term>
<term>Free flap</term>
<term>Mandible</term>
<term>Rehabilitation(human)</term>
<term>Stomatology</term>
<term>Surgery</term>
<term>Tooth</term>
<term>Treatment</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Reconstruction anatomique</term>
<term>Chirurgie</term>
<term>Lambeau libre</term>
<term>Mandibule</term>
<term>Complication</term>
<term>Dent</term>
<term>Réadaptation</term>
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<front><div type="abstract" xml:lang="en">Purpose: To evaluate complications and success of mandibular reconstruction with free fibula flaps, iliac crest flaps, and forearm flaps with reconstruction plates and to evaluate dental rehabilitation after these reconstructions. Patients and Methods: Eighty-three patients with segmental mandibular defects were included. Correlation analyses were used to determine the relationship between reconstruction type and clinical parameters with recipient-site complications and success. The dental rehabilitation was evaluated in successfully reconstructed survivors. Results: Multivariate analyses showed significant correlations between flap type and success (P < .0001). Of the patients, 51 (61%) were alive 2 years after the reconstruction. Mandibular reconstruction with a free forearm flap and reconstruction plate was associated with higher complication rates at the recipient site and higher failure rates compared with reconstruction with free vascularized bone flaps. Of the 32 successfully reconstructed survivors, 14 (44%) had a complete dental rehabilitation, of which 10 had dental implants and 4 did not. Only 6 (29%) of the edentuous survivors ultimately had an implant-supported prosthesis. Conclusions: Reconstruction of the mandible with a free vascularized bone flap is superior to reconstruction with a free forearm flap with a reconstruction plate. Complete dental rehabilitation was reached in fewer than half of the surviving patients.</div>
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Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation

Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri