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The International Journal of Prosthodontics
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Int J Prosthodont 29 (2016), No. 1     12. Jan. 2016
Int J Prosthodont 29 (2016), No. 1  (12.01.2016)

Page 53-58, doi:10.11607/ijp.4010, PubMed:26757329


Case History Report: Immediate Rehabilitation with a Prefabricated Fibula Flap Following Removal of a Locally Aggressive Maxillary Tumor
Nkenke, Emeka / Agaimy, Abbas / Vairaktaris, Elefterios / Lell, Michael / Wilmowsky, Cornelius von / Eitner, Stephan
The present clinical case history report describes an interdisciplinary treatment protocol that combines maxillary tumor resection with immediate reconstruction to achieve functional rehabilitation. A fibula flap that received four dental implants and a split-thickness graft epithelial layer was prefabricated for a 31-year-old man. The flap was designed so that it could be adapted to fit in different extents of tumor resection. Resection and immediate reconstruction were successfully performed 6 weeks after flap prefabrication, with the final bar-retained dental prosthesis delivered 4 weeks later.