Functional reconstruction after a total maxillectomy using a fibula osteocutaneous flap with osseointegrated implants.

Kazaoka, Y; Shinohara, A; Yokou, K; Hasegawa, T · Plast Reconstr Surg · 1999

case_report · Level V

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Abstract

The fibula osteocutaneous flap with osseointegrated implants was used for reconstruction of a total maxillectomy defect. We have achieved satisfactory reconstruction of three-dimensional facial structure, orbit support, and a functional prosthesis. Our procedure restored the patient's masticatory function of the maxilla and enabled good speech and a natural facial appearance. A very high quality of function was obtained without any complications, but long-term follow-up is necessary for maintenance of the implants.

Medical subject headings