dental_mooos
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Date: 27/01/2011 16:29
Rehabilitation of a bilateral maxillectomy patient with a free fibula osteocutaneous flap.pdf | #post336 | BY
H. MUKOHYAMA, M. HARAGUCHI, Y. I. SUMITA, H. IIDA , Y. HATA, ,S. KISHIMOTO& H. TANIGUCHI
Department of Maxillofacial Prosthetics,Department of Plastic and Reconstructive Surgery and Department of Head and Neck Surgery, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan
SUMMARY Rehabilitation of patients who have
undergone bilateral maxillectomy is difficult be-
cause of extensive loss of bone and soft tissue. In this
clinical report, prosthodontic rehabilitation of oral
function in a bilateral maxillecitomy patient com-
bined with a new fibular osteocutaneous flap, which
was designed to have two oronasal slits for the
retention of an obturator prosthesis, was described.
A 58-year-old man with a maxillary alveolar carci-
noma underwent bilateral maxillectomy. The defect
was reconstructed using a vascularized fibular bone
wrapped circumferentially with a peroneal flap,
which was fixed with miniplates between the right
malar prominence and cut edge of the left zygoma
remaining two slits anterior and posterior to the
graft. Two and half weeks after the surgery, a
delayed surgical obturator was delivered and an
obturator prosthesis was delivered 6 weeks after the
surgery. This obturator prosthesis could be exte......................
size:
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