[Combined vascularized iliac osteo-musculo-cutaneous flap with zygomatic implant anchorage in reconstructing 1 case of maxillary defect]

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Oct;19(10):807-10.
[Article in Chinese]

Abstract

Objective: To reconstruct the maxillary defect by using free vascularized iliac osteo-musculo-cutaneous flap combined with immediate zygomatic implantation for early rehabilitation of maxillary contour and masticatory function.

Methods: In August 2003, the patient presented with deformity of left middle face (Brown II type defect) after subtotal maxillectomy. After hospitalization, a set of preoperative preparations were made, including spiral CT scanning, manufacture of nature size anatomical model and implantation protocol design. The maxillary defect was reconstructed with free vascularized iliac osteo-musculo-cutaneous flap combined with simultaneous insertion of one Bränemark zygomatic implant and two general implants. Six months later the prosthesis were placed.

Results: The vascularized osteo-musculo-cutaneous flap survived, the osseointegration was observed between bone and implant 6 months later. The contour of face and palate was satisfactory, the normal occluding relation was gained. The average masticatory force of operative side was 76.3% of the normal side. No tumor recurrence was noticed during the follow-up of 14 months.

Conclusion: It is a reliable method for functional reconstruction of maxillary defect via vascularized iliac osteo-musculo-cutaneous flap combined with immediate zygomatic implantation.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Bone Transplantation
  • Dental Implantation*
  • Follow-Up Studies
  • Humans
  • Ilium / transplantation
  • Male
  • Maxilla / injuries*
  • Maxilla / surgery
  • Surgical Flaps*
  • Treatment Outcome
  • Zygoma / surgery