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Maxillary functional reconstruction using a reverse facial artery-submental artery mandibular osteomuscular flap with dental implants.
Journal of Oral and Maxillofacial Surgery 2011 November
PURPOSE: This clinical study assessed the reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants for the functional reconstruction of maxillary defects.
PATIENTS AND METHODS: Class 2a defects in 5 patients were repaired with a reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants (n = 21). All patients received a fixed partial denture after a 3- to 6-month healing period.
RESULTS: All lesions were widely excised in an area extending to the maxilla. Of the implants, 20 (95.2%) were loaded and 1 was lost before loading. Reconstruction with a fixed partial denture was successful in all patients. The patients were followed up for 12 to 20 months (mean, 15.8 months), and no recurrence was observed.
CONCLUSION: The reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants is safe, quick, and simple to elevate and is reliable for the functional reconstruction of maxillary defects.
PATIENTS AND METHODS: Class 2a defects in 5 patients were repaired with a reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants (n = 21). All patients received a fixed partial denture after a 3- to 6-month healing period.
RESULTS: All lesions were widely excised in an area extending to the maxilla. Of the implants, 20 (95.2%) were loaded and 1 was lost before loading. Reconstruction with a fixed partial denture was successful in all patients. The patients were followed up for 12 to 20 months (mean, 15.8 months), and no recurrence was observed.
CONCLUSION: The reverse facial artery-submental artery mandibular osteomuscular flap with titanium dental implants is safe, quick, and simple to elevate and is reliable for the functional reconstruction of maxillary defects.
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