EdenteV2, PascalFrancis, Corpus, bibRecord, 000446

Atrophy of free fibular grafts after mandibular reconstruction

Identifieur interne : 000446 ( PascalFrancis/Corpus ); précédent : 000445; suivant : 000447

Atrophy of free fibular grafts after mandibular reconstruction

Auteurs : Frank Hölzle ; Anna Watola ; Marco Rainer Kesting ; Dirk Nolte ; Klaus-Dietrich Wolff

Source :

Plastic and reconstructive surgery : (1963) [ 0032-1052 ] ; 2007.

RBID : Pascal:07-0065649

Descripteurs français

Pascal (Inist)
- Atrophie, Reconstruction anatomique, Chirurgie, Greffe libre, Péroné, Mandibule, Traitement.

English descriptors

KwdEn :
- Anatomical reconstruction, Atrophy, Fibula, Free graft, Mandible, Surgery, Treatment.

Abstract

Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0032-1052`
A03		`1`		`@0 Plast. reconstr. surg. : (1963)`
A05				`@2 119`
A06				`@2 1`
A08	`01`	`1`	`ENG`	`@1 Atrophy of free fibular grafts after mandibular reconstruction`
A11	`01`	`1`		`@1 HÖLZLE (Frank)`
A11	`02`	`1`		`@1 WATOLA (Anna)`
A11	`03`	`1`		`@1 RAINER KESTING (Marco)`
A11	`04`	`1`		`@1 NOLTE (Dirk)`
A11	`05`	`1`		`@1 WOLFF (Klaus-Dietrich)`
A14	`01`			`@1 Department of Oral and Maxillofacial Surgery, Ruhr-University Bochum, Knappschaftskrankenhaus Bo chum-Langendreer @3 DEU @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut.`
A20				`@1 151-156`
A21				`@1 2007`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 11075 @5 354000145214140170`
A44				`@0 0000 @1 © 2007 INIST-CNRS. All rights reserved.`
A45				`@0 30 ref.`
A47	`01`	`1`		`@0 07-0065649`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Plastic and reconstructive surgery : (1963)`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.
C02	`01`	`X`		`@0 002B25`
C03	`01`	`X`	`FRE`	`@0 Atrophie @5 01`
C03	`01`	`X`	`ENG`	`@0 Atrophy @5 01`
C03	`01`	`X`	`SPA`	`@0 Atrofia @5 01`
C03	`02`	`X`	`FRE`	`@0 Reconstruction anatomique @5 04`
C03	`02`	`X`	`ENG`	`@0 Anatomical reconstruction @5 04`
C03	`02`	`X`	`SPA`	`@0 Reconstrucción anatómica @5 04`
C03	`03`	`X`	`FRE`	`@0 Chirurgie @5 05`
C03	`03`	`X`	`ENG`	`@0 Surgery @5 05`
C03	`03`	`X`	`SPA`	`@0 Cirugía @5 05`
C03	`04`	`X`	`FRE`	`@0 Greffe libre @5 07`
C03	`04`	`X`	`ENG`	`@0 Free graft @5 07`
C03	`04`	`X`	`SPA`	`@0 Injerto libre @5 07`
C03	`05`	`X`	`FRE`	`@0 Péroné @5 08`
C03	`05`	`X`	`ENG`	`@0 Fibula @5 08`
C03	`05`	`X`	`SPA`	`@0 Peroné @5 08`
C03	`06`	`X`	`FRE`	`@0 Mandibule @5 09`
C03	`06`	`X`	`ENG`	`@0 Mandible @5 09`
C03	`06`	`X`	`SPA`	`@0 Mandíbula @5 09`
C03	`07`	`X`	`FRE`	`@0 Traitement @5 30`
C03	`07`	`X`	`ENG`	`@0 Treatment @5 30`
C03	`07`	`X`	`SPA`	`@0 Tratamiento @5 30`
N21				`@1 043`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 07-0065649 INIST
ET :	Atrophy of free fibular grafts after mandibular reconstruction
AU :	HÖLZLE (Frank); WATOLA (Anna); RAINER KESTING (Marco); NOLTE (Dirk); WOLFF (Klaus-Dietrich)
AF :	Department of Oral and Maxillofacial Surgery, Ruhr-University Bochum, Knappschaftskrankenhaus Bo chum-Langendreer/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)
DT :	Publication en série; Niveau analytique
SO :	Plastic and reconstructive surgery : (1963); ISSN 0032-1052; Etats-Unis; Da. 2007; Vol. 119; No. 1; Pp. 151-156; Bibl. 30 ref.
LA :	Anglais
EA :	Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.
CC :	002B25
FD :	Atrophie; Reconstruction anatomique; Chirurgie; Greffe libre; Péroné; Mandibule; Traitement
ED :	Atrophy; Anatomical reconstruction; Surgery; Free graft; Fibula; Mandible; Treatment
SD :	Atrofia; Reconstrucción anatómica; Cirugía; Injerto libre; Peroné; Mandíbula; Tratamiento
LO :	INIST-11075.354000145214140170
ID :	07-0065649

Links to Exploration step

Pascal:07-0065649

Le document en format XML

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<front><div type="abstract" xml:lang="en">Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.</div>
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<fC01 i1="01" l="ENG"><s0>Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.</s0>
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<server><NO>PASCAL 07-0065649 INIST</NO>
<ET>Atrophy of free fibular grafts after mandibular reconstruction</ET>
<AU>HÖLZLE (Frank); WATOLA (Anna); RAINER KESTING (Marco); NOLTE (Dirk); WOLFF (Klaus-Dietrich)</AU>
<AF>Department of Oral and Maxillofacial Surgery, Ruhr-University Bochum, Knappschaftskrankenhaus Bo chum-Langendreer/Allemagne (1 aut., 2 aut., 3 aut., 4 aut., 5 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Plastic and reconstructive surgery : (1963); ISSN 0032-1052; Etats-Unis; Da. 2007; Vol. 119; No. 1; Pp. 151-156; Bibl. 30 ref.</SO>
<LA>Anglais</LA>
<EA>Background: In free fibular flap surgery, the graft's low vertical height and tendency to resorb over time have been considered potential drawbacks. This study investigated (1) short- and long-term bone resorption in free fibular grafts; (2) resorption behavior of fibular grafts versus dentulous and edentulous autochthonous mandibular bone; and (3) factors that potentially influence long-term bone atrophy, such as site of reconstruction, presence of osseointegrated dental implants, patient age, and adjuvant radiation therapy. Methods: Between 1992 and 2004, 113 patients received free fibular grafts. Fifty-four of these patients were examined retrospectively. Postoperative Panorex examinations assessed loss of bone height per month. Standardized miniplate measurements served as a reference to prevent errors caused by projection on magnification. Results: Follow-up ranged from 6 months to 12 years. According to Jewer's classification, the following defect types were found: L, 23 (42.6 percent); H, five (9.3 percent); C, two (3.7 percent); LC, 12 (22.2 percent); HC, nine (16.7 percent); and LCL, three (5.6 percent). Radiographic analysis revealed a monthly atrophy of 0.04 ± 0.08 mm (mean ± SD) for fibular bone, 0.14 ± 0.11 mm for dentulous mandibula, and 0.20 ± 0.17 mm for edentulous mandibula. The difference in bone loss between fibula and edentulous or dentulous bone was significant (Friedman's test and Wilcoxon paired-sample test, p < 0.0001 and p = 0.02, respectively). Investigated factors had no significant influence on bone resorption rate. Conclusions: Fibular grafts show short- and long-term stability. Their rate of atrophy is significantly lower than that of edentulous or dentulous mandibular bone. Thus, implants can be inserted into this bone graft just as successfully as they are inserted into adjacent mandibular bone when the same bone height is present.</EA>
<CC>002B25</CC>
<FD>Atrophie; Reconstruction anatomique; Chirurgie; Greffe libre; Péroné; Mandibule; Traitement</FD>
<ED>Atrophy; Anatomical reconstruction; Surgery; Free graft; Fibula; Mandible; Treatment</ED>
<SD>Atrofia; Reconstrucción anatómica; Cirugía; Injerto libre; Peroné; Mandíbula; Tratamiento</SD>
<LO>INIST-11075.354000145214140170</LO>
<ID>07-0065649</ID>
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Atrophy of free fibular grafts after mandibular reconstruction

Atrophy of free fibular grafts after mandibular reconstruction

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