游离皮瓣下颌骨重建并同期牙种植：单中心经验。
Free flap jaw reconstruction with dental implantation: A single-institution experience.
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of California San Diego Health, San Diego, California, USA.
Moores Cancer Center, University of California San Diego Health, La Jolla, California, USA.
出版信息
Head Neck. 2024 Jun;46(6):1370-1379. doi: 10.1002/hed.27683. Epub 2024 Feb 29.
BACKGROUND
We sought to review our institution's experience with dental implant placement in free flap jaw reconstruction to determine factors impacting restoration of dental occlusion.
METHODS
Exactly 48 patients underwent free flap jaw reconstruction with or without dental restoration from 2017 to 2022. Primary outcome was achievement of restored dental occlusion after jaw free flap reconstruction.
RESULTS
A total of 48 patients with a mean age of 59.8 ± 16.4 years underwent jaw reconstruction from 2017 to 2022. Ten patients (20.8%) received osteointegrated dental implants. Two patients received a temporary dental prosthesis, 12 ± 4 months after initial reconstruction. Three patients received a final prosthesis, with a mean time to final prosthesis of 17.7 ± 12.4 months. Five patients did not receive any prosthesis despite placement of implants.
CONCLUSION
A minority of patients received dental implant placement with free flap jaw reconstruction and only a small subset of these received a definitive dental prosthesis.
背景
我们旨在回顾本机构在游离皮瓣下颌骨重建中进行牙种植体植入的经验，以确定影响牙咬合重建的因素。
方法
2017 年至 2022 年期间，共有 48 例患者接受了游离皮瓣下颌骨重建术，其中部分患者同时进行了牙修复。主要结局是评估游离皮瓣下颌骨重建后恢复牙咬合的情况。
结果
2017 年至 2022 年期间，共有 48 例平均年龄为 59.8±16.4 岁的患者接受了下颌骨重建。10 例（20.8%）患者接受了骨整合牙种植体。2 例患者在初次重建后 12±4 个月接受了临时义齿。3 例患者最终接受了义齿修复，平均最终义齿修复时间为 17.7±12.4 个月。尽管植入了种植体，但有 5 例患者未佩戴任何义齿。
结论
游离皮瓣下颌骨重建中只有少数患者接受了牙种植体植入，且只有一小部分患者接受了最终的牙修复。
Zotero 插件