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Volume 29 , Issue 1
January/February 2016

Pages 5358

Case History Report: Immediate Rehabilitation with a Prefabricated Fibula Flap Following Removal of a Locally Aggressive Maxillary Tumor

Emeka Nkenke, MD, DMD, MA/Abbas Agaimy, MD/Elefterios Vairaktaris, MD, DMD/Michael Lell, MD/ Cornelius von Wilmowsky, MD, DMD/Stephan Eitner, DMD

PMID: 26757329
DOI: 10.11607/ijp.4010

The present clinical case history report describes an interdisciplinary treatment protocol that combines maxillary tumor resection with immediate reconstruction to achieve functional rehabilitation. A fibula flap that received four dental implants and a split-thickness graft epithelial layer was prefabricated for a 31-year-old man. The flap was designed so that it could be adapted to fit in different extents of tumor resection. Resection and immediate reconstruction were successfully performed 6 weeks after flap prefabrication, with the final bar-retained dental prosthesis delivered 4 weeks later.

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