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Submitted: 08 Oct 2010
Accepted: 30 Nov 2010
ePublished: 22 Sep 2018
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J Periodontol Implant Dent. 2010;2(2): 88-91.
  Abstract View: 166
  PDF Download: 84

Case Report

Prefabricated Free Fibula Flap for Reconstruction of a Maxillary Defect: A Case Report

Fereydoun Parnia 1*, Shahram Nazerani 2, Roodabeh Koodaryan 1, Negar Motayagheni 3

1 Assistant Professor, Department of Prosthodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
3 Post-graduate Student, Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
1 Assistant Professor, Department of Prosthodontics, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor, Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
3 Post-graduate Student, Department of Anesthesiology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author; E-mail: fradoon.parnia@gmail.com

Abstract

The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were free of inflammation. The fibula flap was then transferred to the maxilla. Implant placement was performed 4 to 6 months after transfer of the flap to the oral cavity. Three titanium implants, with a width of 4 mm and a length of 13 mm, were placed using a conventional two-stage protocol. A cement-retained 5-unit metal-ceramic fixed partial denture was fabricated. 
Keywords: Free fibula flap, implant, maxillary defect
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