Purpose: To investigate the antidote for inadequate bone height of mandibular reconstruction with fibula flap。Methods: Analysis the methods for inadequate bone height of 70 mandibular reconstruction cases with free f...
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Purpose: To investigate the antidote for inadequate bone height of mandibular reconstruction with fibula flap。Methods: Analysis the methods for inadequate bone height of 70 mandibular reconstruction cases with free fibula flap in Peking University School of Stomatology。Results: The methods for inadequate bone height are as follows: (1) Direct prosthesis (45 cases), the function of direct prosthesis depends on the residual teeth。(2) Move the bone graft upward (5 cases), which can obtain normal alveolar bone height and abnormal facial contour for not ensuring the continuity of mandibular lower border。(3) Double barrel free fibula flap (12cases), which can reconstruct the mandibular height and receive better effects not only on the appearance but also on the function。(4) Second onlay bone graft (2 cases), which has been applied seldom for two bone graft operations。(5) Fibula vertical distraction (6 cases), which can reach ideal dental prosthesis with long treatment period and high cost。Conclusions: For inadequate bone height of mandibular reconstruction with fibula flap, the common antidote should be direct prosthesis, double barrel free fibula flap and fibula vertical distraction。
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