Free microvascular transfer of segmental corticocancellous femur for reconstruction of the alveolar ridge

Abstract In seven patients with deficiency of the alveolar ridge of the maxilla or mandible the defect was covered with the help of a microvascular corticocancellous transplant of femur. The defects to be corrected measured 3–10 cm long, 1.5–4 cm wide, and 1–1.5 cm high. The microvascular pedicle wa...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2008-04, Vol.46 (3), p.211-217
Main Authors: Gaggl, Alexander J, Bürger, Heinz K, Chiari, Friedrich M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Alveolar Process - blood supply
Alveolar Process - diagnostic imaging
Alveolar Process - surgery
Alveolar Ridge Augmentation - methods
Alveolar ridge reconstruction
Anastomosis, Surgical - methods
Augmentation
Biological and medical sciences
Dental Implantation, Endosseous - methods
Dentistry
Female
Femur - blood supply
Femur - transplantation
Humans
Male
Medical sciences
Microsurgery - methods
Microvascular bone flaps
Middle Aged
Osteoperiosteal femur flap
Otorhinolaryngology. Stomatology
Pain Measurement
Periodontal Index
Radiography
Surgery
Treatment Outcome
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Summary:Abstract In seven patients with deficiency of the alveolar ridge of the maxilla or mandible the defect was covered with the help of a microvascular corticocancellous transplant of femur. The defects to be corrected measured 3–10 cm long, 1.5–4 cm wide, and 1–1.5 cm high. The microvascular pedicle was between 4 and 10 cm long. The descending genicular artery was anastomosed to the facial or labial superior artery and the accompanying veins accordingly. There were no serious complications and no transplant was lost. In all patients the defect was covered by the correct size and design. All patients were treated with dental implants six months after successful reconstruction of the ridge. The microvascular osteoperiosteal femur transplant can be used successfully in individual reconstruction of segmental defects of the alveolar ridge.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2007.09.004