Sameh Attia1, Jörg Wiltfang2, Philipp Streckbein3, Jan-Falco Wilbrand3, Thaqif El Khassawna4, Katharina Mausbach5, Hans-Peter Howaldt3, Heidrun Schaaf3. 1. University Hospital Giessen, Dept. for Maxillofacial Surgery, (Head: Prof. Dr. Hans-Peter Howaldt), Klinikstr. 33, 35392, Giessen, Germany. Electronic address: sameh.attia@dentist.med.uni-giessen.de. 2. University Hospital Kiel, Dept. for Maxillofacial Surgery, (Head: Prof. Dr. Joerg Wiltfang), Arnold-Heller-Straße 16, 24105, Kiel, Germany. 3. University Hospital Giessen, Dept. for Maxillofacial Surgery, (Head: Prof. Dr. Hans-Peter Howaldt), Klinikstr. 33, 35392, Giessen, Germany. 4. Experimental Trauma Surgery, Faculty of Medicine, Justus Liebig University Giessen, Germany. 5. Justus-Liebig-University Giessen, Department of Prosthodontics, Schlangenzahl 14, 35392 Giessen, Germany.
Abstract
PURPOSE: Microvascular fibula flap surgery is a reliable and effective procedure for reconstructing the jaws after tumour surgery. This procedure allows the placement of dental implants after bone consolidation. This study was designed to evaluate the oral, functional, and aesthetic rehabilitation of tumour patients with immediate fibula transfer and dental implants and included assessment of diet, speech, and aesthetics. MATERIALS AND METHODS: The study included 34 patients who underwent ablative tumour surgery and immediate jaw reconstruction using a fibula free flap with consecutive rehabilitation by dental implants. In total, 134 implants were inserted into the transferred fibula. The functional and aesthetic results were assessed using a questionnaire. Implant loss and oral excursion were compared with diet type, speech ability, functionality, and patient satisfaction. RESULTS: Of the 34 patients included in this study, 33 completed the questionnaire. Twenty-six patients (76%) could eat normally without the limitation of a hard or soft diet, 73% could speak intelligibly, and 31 rated the aesthetic result from good to excellent. CONCLUSION: The fibula flap with the early application of endosseous implants allowed primary immediate reconstruction of the jaw, significantly leading to functional and aesthetic satisfaction in patients who underwent ablative tumour surgery.
PURPOSE: Microvascular fibula flap surgery is a reliable and effective procedure for reconstructing the jaws after tumour surgery. This procedure allows the placement of dental implants after bone consolidation. This study was designed to evaluate the oral, functional, and aesthetic rehabilitation of tumourpatients with immediate fibula transfer and dental implants and included assessment of diet, speech, and aesthetics. MATERIALS AND METHODS: The study included 34 patients who underwent ablative tumour surgery and immediate jaw reconstruction using a fibula free flap with consecutive rehabilitation by dental implants. In total, 134 implants were inserted into the transferred fibula. The functional and aesthetic results were assessed using a questionnaire. Implant loss and oral excursion were compared with diet type, speech ability, functionality, and patient satisfaction. RESULTS: Of the 34 patients included in this study, 33 completed the questionnaire. Twenty-six patients (76%) could eat normally without the limitation of a hard or soft diet, 73% could speak intelligibly, and 31 rated the aesthetic result from good to excellent. CONCLUSION: The fibula flap with the early application of endosseous implants allowed primary immediate reconstruction of the jaw, significantly leading to functional and aesthetic satisfaction in patients who underwent ablative tumour surgery.
Authors: Michael Knitschke; Sophia Sonnabend; Fritz Christian Roller; Jörn Pons-Kühnemann; Daniel Schmermund; Sameh Attia; Philipp Streckbein; Hans-Peter Howaldt; Sebastian Böttger Journal: Curr Oncol Date: 2022-05-06 Impact factor: 3.109
Authors: Sameh Attia; Clara Narberhaus; Heidrun Schaaf; Philipp Streckbein; Jörn Pons-Kühnemann; Christian Schmitt; Friedrich Wilhelm Neukam; Hans-Peter Howaldt; Sebastian Böttger Journal: J Clin Med Date: 2020-01-28 Impact factor: 4.241
Authors: Michael Knitschke; Anna Katrin Baumgart; Christina Bäcker; Christian Adelung; Fritz Roller; Daniel Schmermund; Sebastian Böttger; Philipp Streckbein; Hans-Peter Howaldt; Sameh Attia Journal: Front Oncol Date: 2022-01-19 Impact factor: 6.244