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Oral & Craniofacial Tissue Engineering

Edited by Ole T. Jensen, DDS, MS

Official Journal of the Tissue Engineering Society, the Chinese Society of Oral Biomedicine, and the Japanese Society of Regenerative Medicine

ISSN (print) 2158-3722 • ISSN (online) 2158-3706

Oral & Craniofacial Tissue Engineering
Spring 2011
Volume 1 , Issue 1

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Prefabricated Fibular Flaps for Reconstruction of Defects of the Maxillofacial Skeleton: Planning, Technique, and Long-Term Experience

Dennis Rohner, MD, DMD/Peter Bucher, CDT/Beat Hammer, MD, DMD

Pages: 1119

Reconstruction of complex defects involving the maxilla or mandible often requires transfer of free vascularized tissue. In the conventional approach, a flap is transferred to provide vital tissue, and subsequent shaping and debulking are required. The authors present their experience with prefabrication of vascularized fibular flaps. Since 1999, 48 prefabricated flaps have been used to reconstruct 28 maxillary and 20 mandibular defects. The technique involves two surgical steps (prefabrication and flap transfer) and requires accurate planning, done with a solid model of the skull. Correct positioning of the prefabricated flap is accomplished by using the occlusion as a guide. Planning includes fabrication of a provisional prosthesis that is fixed to the flap with implants. Putting the prosthesis into occlusion determines the position of the flap. Oral Craniofac Tissue Eng 2011;1:1119

Key words: dental implants, free fibula flap, maxillofacial reconstruction, prefabrication, virtual planning

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