Reconstruction of a palatomaxillary defect with vascularized iliac bone combined with a superficial inferior epigastric artery flap and zygomatic implants as anchorage.
Identifieur interne : 002397 ( PubMed/Corpus ); précédent : 002396; suivant : 002398Reconstruction of a palatomaxillary defect with vascularized iliac bone combined with a superficial inferior epigastric artery flap and zygomatic implants as anchorage.
Auteurs : Y J Hu ; A. Hardianto ; S Y Li ; Z Y Zhang ; C P ZhangSource :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2007.
English descriptors
- KwdEn :
- Adult, Bone Transplantation (methods), Cephalometry (instrumentation), Computer-Aided Design, Dental Implantation, Endosseous, Humans, Ilium, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Maxilla (pathology), Maxilla (surgery), Osseointegration, Palatal Neoplasms (surgery), Palate (pathology), Palate (surgery), Prosthesis Design (methods), Reconstructive Surgical Procedures (methods), Sarcoma (surgery), Surgical Flaps, Treatment Outcome, Zygoma (surgery).
- MESH :
- instrumentation : Cephalometry.
- methods : Bone Transplantation, Prosthesis Design, Reconstructive Surgical Procedures.
- pathology : Maxilla, Palate.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Maxilla, Palatal Neoplasms, Palate, Sarcoma, Zygoma.
- Adult, Computer-Aided Design, Dental Implantation, Endosseous, Humans, Ilium, Male, Osseointegration, Surgical Flaps, Treatment Outcome.
Abstract
Here is described a modified technique of palatomaxillary reconstruction that combines the use of a free vascularized bone graft by osteotomy, soft-tissue flap, zygomatic implant as an anchorage and two standard implants simultaneously. The patient presented with deformity in the left face after subtotal maxillectomy (Brown 2b classification). Preoperative work up was performed by a rapid prototyping model using computer-aided manufacturing technology. The purpose of this model is to provide accurate measurements of the defect. The palatomaxillary three-dimensional buttress system can be managed by orienting the bone graft vertically and horizontally. Reconstruction of the palatomaxillary defect was successfully accomplished in a single surgical procedure. Dental implant restoration achieved good osseointegration without any significant resorption. This new modification represents a significant contribution to palatomaxillary reconstruction using zygomatic implants as anchorage.
DOI: 10.1016/j.ijom.2007.04.011
PubMed: 17616341
Links to Exploration step
pubmed:17616341Le document en format XML
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<author><name sortKey="Hu, Y J" sort="Hu, Y J" uniqKey="Hu Y" first="Y J" last="Hu">Y J Hu</name>
<affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, School of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China.</nlm:affiliation>
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<author><name sortKey="Hardianto, A" sort="Hardianto, A" uniqKey="Hardianto A" first="A" last="Hardianto">A. Hardianto</name>
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<author><name sortKey="Li, S Y" sort="Li, S Y" uniqKey="Li S" first="S Y" last="Li">S Y Li</name>
</author>
<author><name sortKey="Zhang, Z Y" sort="Zhang, Z Y" uniqKey="Zhang Z" first="Z Y" last="Zhang">Z Y Zhang</name>
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<author><name sortKey="Zhang, C P" sort="Zhang, C P" uniqKey="Zhang C" first="C P" last="Zhang">C P Zhang</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Reconstruction of a palatomaxillary defect with vascularized iliac bone combined with a superficial inferior epigastric artery flap and zygomatic implants as anchorage.</title>
<author><name sortKey="Hu, Y J" sort="Hu, Y J" uniqKey="Hu Y" first="Y J" last="Hu">Y J Hu</name>
<affiliation><nlm:affiliation>Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, School of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China.</nlm:affiliation>
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<author><name sortKey="Hardianto, A" sort="Hardianto, A" uniqKey="Hardianto A" first="A" last="Hardianto">A. Hardianto</name>
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<author><name sortKey="Li, S Y" sort="Li, S Y" uniqKey="Li S" first="S Y" last="Li">S Y Li</name>
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<author><name sortKey="Zhang, Z Y" sort="Zhang, Z Y" uniqKey="Zhang Z" first="Z Y" last="Zhang">Z Y Zhang</name>
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<author><name sortKey="Zhang, C P" sort="Zhang, C P" uniqKey="Zhang C" first="C P" last="Zhang">C P Zhang</name>
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<series><title level="j">International journal of oral and maxillofacial surgery</title>
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<imprint><date when="2007" type="published">2007</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Bone Transplantation (methods)</term>
<term>Cephalometry (instrumentation)</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous</term>
<term>Humans</term>
<term>Ilium</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (pathology)</term>
<term>Maxilla (surgery)</term>
<term>Osseointegration</term>
<term>Palatal Neoplasms (surgery)</term>
<term>Palate (pathology)</term>
<term>Palate (surgery)</term>
<term>Prosthesis Design (methods)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Sarcoma (surgery)</term>
<term>Surgical Flaps</term>
<term>Treatment Outcome</term>
<term>Zygoma (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Cephalometry</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term>
<term>Prosthesis Design</term>
<term>Reconstructive Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Maxilla</term>
<term>Palate</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Palatal Neoplasms</term>
<term>Palate</term>
<term>Sarcoma</term>
<term>Zygoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous</term>
<term>Humans</term>
<term>Ilium</term>
<term>Male</term>
<term>Osseointegration</term>
<term>Surgical Flaps</term>
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<front><div type="abstract" xml:lang="en">Here is described a modified technique of palatomaxillary reconstruction that combines the use of a free vascularized bone graft by osteotomy, soft-tissue flap, zygomatic implant as an anchorage and two standard implants simultaneously. The patient presented with deformity in the left face after subtotal maxillectomy (Brown 2b classification). Preoperative work up was performed by a rapid prototyping model using computer-aided manufacturing technology. The purpose of this model is to provide accurate measurements of the defect. The palatomaxillary three-dimensional buttress system can be managed by orienting the bone graft vertically and horizontally. Reconstruction of the palatomaxillary defect was successfully accomplished in a single surgical procedure. Dental implant restoration achieved good osseointegration without any significant resorption. This new modification represents a significant contribution to palatomaxillary reconstruction using zygomatic implants as anchorage.</div>
</front>
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<DateCompleted><Year>2007</Year>
<Month>12</Month>
<Day>13</Day>
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<DateRevised><Year>2007</Year>
<Month>09</Month>
<Day>17</Day>
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<JournalIssue CitedMedium="Print"><Volume>36</Volume>
<Issue>9</Issue>
<PubDate><Year>2007</Year>
<Month>Sep</Month>
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<Title>International journal of oral and maxillofacial surgery</Title>
<ISOAbbreviation>Int J Oral Maxillofac Surg</ISOAbbreviation>
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<ArticleTitle>Reconstruction of a palatomaxillary defect with vascularized iliac bone combined with a superficial inferior epigastric artery flap and zygomatic implants as anchorage.</ArticleTitle>
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<Abstract><AbstractText>Here is described a modified technique of palatomaxillary reconstruction that combines the use of a free vascularized bone graft by osteotomy, soft-tissue flap, zygomatic implant as an anchorage and two standard implants simultaneously. The patient presented with deformity in the left face after subtotal maxillectomy (Brown 2b classification). Preoperative work up was performed by a rapid prototyping model using computer-aided manufacturing technology. The purpose of this model is to provide accurate measurements of the defect. The palatomaxillary three-dimensional buttress system can be managed by orienting the bone graft vertically and horizontally. Reconstruction of the palatomaxillary defect was successfully accomplished in a single surgical procedure. Dental implant restoration achieved good osseointegration without any significant resorption. This new modification represents a significant contribution to palatomaxillary reconstruction using zygomatic implants as anchorage.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hu</LastName>
<ForeName>Y J</ForeName>
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<AffiliationInfo><Affiliation>Department of Oral and Maxillofacial Surgery, Shanghai Ninth People's Hospital, School of Stomatology, Shanghai Jiao Tong University, Shanghai 200011, China.</Affiliation>
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