EdenteV2, PascalFrancis, Corpus, bibRecord, 000065

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

Identifieur interne : 000065 ( PascalFrancis/Corpus ); précédent : 000064; suivant : 000066

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

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

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.

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 JOMSDA`
A03		`1`		`@0 J. oral maxillofac. surg.`
A05				`@2 70`
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A08	`01`	`1`	`ENG`	`@1 Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation`
A11	`01`	`1`		`@1 VAN GEMERT (Johannes T. M.)`
A11	`02`	`1`		`@1 ES (Robert J. J. Van)`
A11	`03`	`1`		`@1 ROSENBERG (Antoine J. W. P.)`
A11	`04`	`1`		`@1 VAN DER BILT (Andries)`
A11	`05`	`1`		`@1 KOOLE (Ron)`
A11	`06`	`1`		`@1 VAN CANN (Ellen M.)`
A14	`01`			`@1 Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht @2 Utrecht @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.`
A20				`@1 1692-1698`
A21				`@1 2012`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 3005 @5 354000500814300290`
A44				`@0 0000 @1 © 2012 INIST-CNRS. All rights reserved.`
A45				`@0 36 ref.`
A47	`01`	`1`		`@0 12-0278886`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Journal of oral and maxillofacial surgery`
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C01	`01`		`ENG`	@0 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.
C02	`01`	`X`		`@0 002B10`
C03	`01`	`X`	`FRE`	`@0 Reconstruction anatomique @5 04`
C03	`01`	`X`	`ENG`	`@0 Anatomical reconstruction @5 04`
C03	`01`	`X`	`SPA`	`@0 Reconstrucción anatómica @5 04`
C03	`02`	`X`	`FRE`	`@0 Chirurgie @5 05`
C03	`02`	`X`	`ENG`	`@0 Surgery @5 05`
C03	`02`	`X`	`SPA`	`@0 Cirugía @5 05`
C03	`03`	`X`	`FRE`	`@0 Lambeau libre @5 07`
C03	`03`	`X`	`ENG`	`@0 Free flap @5 07`
C03	`03`	`X`	`SPA`	`@0 Colgajo libre @5 07`
C03	`04`	`X`	`FRE`	`@0 Mandibule @5 08`
C03	`04`	`X`	`ENG`	`@0 Mandible @5 08`
C03	`04`	`X`	`SPA`	`@0 Mandíbula @5 08`
C03	`05`	`X`	`FRE`	`@0 Complication @5 09`
C03	`05`	`X`	`ENG`	`@0 Complication @5 09`
C03	`05`	`X`	`SPA`	`@0 Complicación @5 09`
C03	`06`	`X`	`FRE`	`@0 Dent @5 13`
C03	`06`	`X`	`ENG`	`@0 Tooth @5 13`
C03	`06`	`X`	`SPA`	`@0 Diente @5 13`
C03	`07`	`X`	`FRE`	`@0 Réadaptation @5 14`
C03	`07`	`X`	`ENG`	`@0 Rehabilitation(human) @5 14`
C03	`07`	`X`	`SPA`	`@0 Readaptación @5 14`
C03	`08`	`X`	`FRE`	`@0 Stomatologie @5 15`
C03	`08`	`X`	`ENG`	`@0 Stomatology @5 15`
C03	`08`	`X`	`SPA`	`@0 Estomatología @5 15`
C03	`09`	`X`	`FRE`	`@0 Traitement @5 30`
C03	`09`	`X`	`ENG`	`@0 Treatment @5 30`
C03	`09`	`X`	`SPA`	`@0 Tratamiento @5 30`
N21				`@1 212`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 12-0278886 INIST
ET :	Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation
AU :	VAN GEMERT (Johannes T. M.); ES (Robert J. J. Van); ROSENBERG (Antoine J. W. P.); VAN DER BILT (Andries); KOOLE (Ron); VAN CANN (Ellen M.)
AF :	Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht/Utrecht/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)
DT :	Publication en série; Niveau analytique
SO :	Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2012; Vol. 70; No. 7; Pp. 1692-1698; Bibl. 36 ref.
LA :	Anglais
EA :	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.
CC :	002B10
FD :	Reconstruction anatomique; Chirurgie; Lambeau libre; Mandibule; Complication; Dent; Réadaptation; Stomatologie; Traitement
ED :	Anatomical reconstruction; Surgery; Free flap; Mandible; Complication; Tooth; Rehabilitation(human); Stomatology; Treatment
SD :	Reconstrucción anatómica; Cirugía; Colgajo libre; Mandíbula; Complicación; Diente; Readaptación; Estomatología; Tratamiento
LO :	INIST-3005.354000500814300290
ID :	12-0278886

Links to Exploration step

Pascal:12-0278886

Le document en format XML

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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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<fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht</s1>
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<fC01 i1="01" l="ENG"><s0>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.</s0>
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</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Free flap</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Colgajo libre</s0>
<s5>07</s5>
</fC03>
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<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Mandible</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Mandíbula</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Complication</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Complication</s0>
<s5>09</s5>
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<fC03 i1="05" i2="X" l="SPA"><s0>Complicación</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Dent</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Tooth</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Diente</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Réadaptation</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Rehabilitation(human)</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Readaptación</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Stomatologie</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Stomatology</s0>
<s5>15</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Estomatología</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Traitement</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Treatment</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>30</s5>
</fC03>
<fN21><s1>212</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 12-0278886 INIST</NO>
<ET>Free Vascularized Flaps for Reconstruction of the Mandible: Complications, Success, and Dental Rehabilitation</ET>
<AU>VAN GEMERT (Johannes T. M.); ES (Robert J. J. Van); ROSENBERG (Antoine J. W. P.); VAN DER BILT (Andries); KOOLE (Ron); VAN CANN (Ellen M.)</AU>
<AF>Department of Oral and Maxillofacial Surgery, Prosthodontics and Special Dental Care, University Medical Center Utrecht/Utrecht/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of oral and maxillofacial surgery; ISSN 0278-2391; Coden JOMSDA; Etats-Unis; Da. 2012; Vol. 70; No. 7; Pp. 1692-1698; Bibl. 36 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B10</CC>
<FD>Reconstruction anatomique; Chirurgie; Lambeau libre; Mandibule; Complication; Dent; Réadaptation; Stomatologie; Traitement</FD>
<ED>Anatomical reconstruction; Surgery; Free flap; Mandible; Complication; Tooth; Rehabilitation(human); Stomatology; Treatment</ED>
<SD>Reconstrucción anatómica; Cirugía; Colgajo libre; Mandíbula; Complicación; Diente; Readaptación; Estomatología; Tratamiento</SD>
<LO>INIST-3005.354000500814300290</LO>
<ID>12-0278886</ID>
</server>
</inist>
</record>

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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

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