Table 1.
Outcomes with three different techniques for mandible reconstruction and implant rehabilitation in oncologic patients.
| A.- DOUBLE BARREL FIBULA FLAP WITH INMEDIATE DENTAL IMPLANTS | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gender/Age (Years) | Diagnosis | Length of Defect (cm) | Vertical Reconstruction (mm) | Vertical Fibula Height (mm) | Horizontal Dimension (mm) | Number ofImplants/ Failure | Bone resorption (mm) | Radiotherapy | Aesthetic Result | Mastication | Dysphagia |
| M/70 | Squamous cell carcinoma |
8.4 | 26.1 | 12.3 | 8.6 | 4/1 | 1.6 | Yes | 3 | 2 | Yes |
| F/32 | Ameloblastoma | 7.8 | 24.5 | 12.0 | 8.0 | 3/1 | 1.5 | No | 3 | 2 | No |
| M/29 | Ameloblastoma | 9.9 | 30.7 | 14.5 | 10.7 | 5 | 0.5 | No | 3 | 2 | No |
| M/43 | Ameloblastoma | 9.3 | 28.2 | 13.7 | 9.5 | 4 | 1.2 | No | 2 | 2 | No |
| M/58 | Squamous cell carcinoma |
10.6 | 29.4 | 14.2 | 10.9 | 4 | 1.4 | Yes | 3 | 1 | No |
| Average | 9.2 | 27.8 | 13.32 | 9.54 | 20/2 (90.0%) |
1.23 | |||||
| B.- FIBULA FLAP WITH ILIAC CREST GRAFT, TITANIUM MESH AND DENTAL IMPLANTS. | |||||||||||
|
Gender/Age
(Years) |
Diagnosis |
Length of Defect
(cm) |
Vertical Reconstruction
(graft) (mm) |
Vertical Fibula Height
(mm) |
Horizontal
Dimension (mm) |
Number of
Implants/ Failure |
Bone resorption
(mm) |
Radiotherapy |
Aesthetic
Result |
Mastication | Dysphagia |
| M/42 | Ameloblastoma | 9.5 | 11.7 | 14.1 | 11.2 | 4 | 1.5 | No | 3 | 2 | No |
| F/61 | Squamous cell carcinoma |
10.8 | 11.9 | 12.3 | 9.6 | 4 | 1.5 | No | 2 | 1 | No |
| F/63 | Squamous cell carcinoma |
9.6 | 12.3 | 12.1 | 9.4 | 5/1 | 1.6 | No | 2 | 2 | No |
| M/38 | Ameloblastoma | 12.6 | 13.2 | 14.4 | 11.7 | 7 | 0.5 | No | 3 | 2 | No |
| F/35 | Ameloblastoma | 9.4 | 13.4 | 13.9 | 9.7 | 4 | 1.4 | No | 3 | 2 | No |
| M/73 | Squamous cell carcinoma |
8.9 | 10.1 | 14.2 | 8.9 | 4/1 | 2.4 | Yes | 3 | 2 | Yes |
| Average | 10.05 | 12.22 | 13.55 | 10.1 | 28/2 (92.86%) | 1.48 | |||||
| C.- DYNAMIC NAVIGATION FOR IMPLANT REHABILITATION IN FIBULA FLAP | |||||||||||
|
Gender/Age
(Years) |
Diagnosis |
Length of Defect
(cm) |
Vertical Reconstruction
(mm) |
Vertical Fibula Height
(mm) |
Horizontal
Dimension (mm) |
Number of
Implants/ Failure |
Bone resorption
(mm) |
Radiotherapy |
Aesthetic
Result |
Mastication | Dysphagia |
| M/18 | Ameloblastoma | 9.8 | Not necessary | 12.2 | 8.5 | 3 | 0.7 | No | 3 | 2 | No |
| M/53 | Ameloblastoma | 8.8 | Not necessary | 13 | 9.2 | 4 | 0.8 | No | 3 | 2 | No |
| M/61 | Squamous cell carcinoma |
8.2 | Not necessary | 11.8 | 9.8 | 5/1 | 1.8 | Yes | 2 | 2 | No |
| Average | 8.9 | 12.3 | 9.2 | 12/1 (91.6%) | 1.1 | ||||||
Esthetic result: 3=good; 2= fair; 1=poor. Mastication: 2= unrestricted diet; 1 = liquid and soft diet.