Details

Autor(en) / Beteiligte

• Hirota, M
• Mizuki, N
• Iwai, T
• Watanuki, K
• Ozawa, T
• Maegawa, J
• Matsui, Y
• Tohnai, I

Titel

Vertical distraction of a free vascularized osteocutaneous scapular flap in the reconstructed mandible for implant therapy

Ist Teil von

• International journal of oral and maxillofacial surgery, 2008-05, Vol.37 (5), p.481-483

Ort / Verlag

Amsterdam: Elsevier Ltd

Erscheinungsjahr

2008

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract This paper describes a case of vertical distraction osteogenesis of a free vascularized osteocutaneous scapular flap in the reconstructed mandible before implant therapy. The patient was a 67-year-old woman with squamous cell carcinoma of the right lower gingiva. She underwent segmental mandibulectomy for tumor ablation and reconstruction with an osteocutaneous scapular flap. The distraction protocol, clinical course and implant therapy are presented. Through this procedure, the bone height of the scapular graft increased by 10 mm. Implants with adequate length could be placed in the distracted area. Two years after masticatory loading, the condition of these implants was stable. Vertical distraction osteogenesis of the scapular flap was considered effective when performed before implant therapy, to facilitate postoperative functional and esthetic restoration after tumor resection.