Hocková Barbora, Slávik Rastislav, Azar Basel, Stebel Jakub, Poruban Dušan, Bonfante Estevam A, Ewers Rolf, Stebel Adam
Department of Maxillofacial Surgery, F. D. Roosevelt University Hospital, Banská Bystrica 974 01, Slovak Republic.
Dentaris Praha Dental Clinic, Olšanská 7, Prague, 1300 00, Czech Republic.
Heliyon. 2024 Jul 5;10(14):e34177. doi: 10.1016/j.heliyon.2024.e34177. eCollection 2024 Jul 30.
Placing dental implants in microvascular bone free flaps used for reconstructing the mandible or maxilla has been previously reported. However, there is scarce information available on the restorative protocol using short dental implants placed in a (DCIA) microvascular free flap and the rationale behind it. This case report describes a 18-year-old patient referred to the hospital for numbness and dull pain of the left mandible, which she observed for three months. The patient underwent mandible resection and reconstruction using the DCIA free flap due to "giant cell lesion" on the left side of the mandibular angle. Short dental implants were placed and prosthetic reconstruction of the dentition involved in the resection was performed in a young patient with two integrated abutment crowns. The placement of short dental implants did not negatively affect the vascular pedicle and vitality of free flap. In our case report, two years after the healing, excellent aesthetic and function were accomplished with the DCIA flap followed by restoration with short implants.
此前已有报道将牙种植体植入用于下颌骨或上颌骨重建的微血管游离皮瓣中。然而，关于在（腹壁下动脉穿支）微血管游离皮瓣中使用短牙种植体的修复方案及其背后的原理，目前可用信息很少。本病例报告描述了一名18岁患者，因左侧下颌骨麻木和钝痛3个月前来医院就诊。该患者因下颌角左侧的“巨细胞病变”接受了下颌骨切除并使用腹壁下动脉穿支游离皮瓣进行重建。在一名年轻患者中植入了短牙种植体，并对切除部位涉及的牙列进行了修复重建，带有两个一体化基台冠。短牙种植体的植入并未对游离皮瓣的血管蒂和活力产生负面影响。在我们的病例报告中，愈合两年后，腹壁下动脉穿支皮瓣配合短种植体修复实现了极佳的美观和功能效果。
