Combination of surgical techniques and reconstructive devices as an alternative treatment after fibula free flap mandibular reconstruction failure: a case report
Arch. Head Neck Surg
; 51: e20220002, Jan-Dec. 2022.
Article
in English
|
LILACS-Express
| LILACS
| ID: biblio-1401187
Responsible library:
BR935
ABSTRACT
Loss of mandibular continuity and functionality in cancer patients undergoing extensive mandible resections is challenging. In these situations, the gold standard treatment is fibula free flap reconstruction. The major challenge occurs when there is a failure of the transplanted fibula. Here we report the case of a patient who underwent right hemimandibulectomy with disarticulation and immediate mandibular reconstruction with a fibula free flap. Subsequently, the flap viability was lost, and there was necrosis of the transplanted bone segment in the short-term follow-up. Considering the best form of rehabilitation for the patient, minimizing the risks of loss and optimizing the reconstructive quality, we opted to install a customized prosthesis including a condylecavity joint component associated with a new free flap and subsequent rehabilitation of the dental occlusion with an implant-supported fixed prosthesis.
Full text:
Available
Collection:
International databases
Database:
LILACS
Language:
English
Journal:
Arch. Head Neck Surg
Journal subject:
Cincias da Sa£de
/
Medicina
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Centro Odontológico da Polícia Militar do Estado de São Paulo/BR
/
Hospital Israelita Albert Einstein/BR
/
Instituto do Câncer do Estado de São Paulo/BR
/
Universidade São Camilo/BR
/
Universidade de São Paulo/BR