Objectives. Oromaxillo mandibular reconstruction using free bone flaps is nowadays a safe technique with a satisfying rate of success (95%) due to the self flap vascularization. Materials. Between April 1996 and May 2006, 153 patients underwent oncological surgery and immediate reconstruction using bone free flaps. Among those patients, we present only 11 patients (7,2%), because they received reconstruction with bone free flaps and dental rehabilitation using osteointegrated implants. Results and conclusions. We analyze them under the aesthetic and functional point of view, using particular tests to evaluate deglutition, mastication, speech, self-esteem, and implant success. The use of free flaps after oncologic surgical demolition is indicated in case of soft tissue and/or bone defects. Maxillo-mandibular reconstruction is more complete if the patient receives dental prosthetic rehabilitation using osseointegrated implants and, for this reason, bone free flap is the best solution.
|Tipologia ministeriale:||Articolo su rivista|
|Appare nelle tipologie:||1.1 Articolo su rivista|