naa a22 4500 510740804 CHVBK 20180411083027.0 cr unu---uuuuu 180411e20130901xx s 000 0 eng 10.1007/s11845-013-0921-2 doi (NATIONALLICENCE)springer-10.1007/s11845-013-0921-2 Deep circumflex iliac artery flap with osseointegrated implants for reconstruction of mandibular benign lesions: clinical experience of 33 cases [Elektronische Daten] [X. Qu, C. Zhang, W. Yang, M. Wang] Background: A variety of free flaps have been successfully used for mandible reconstruction. The iliac crest has similar dimensions and form to the lateral mandible. The success rate and complication rate of deep circumflex iliac artery flap transplants had no significant difference to those of other microvascular bone transplants. Aims: The purpose of this study was to evaluate our experience with the use of the vascularized free iliac flap for the reconstruction of mandibular defects following surgical resection. Methods: Data from 33 patients who underwent operations, including segmental mandibulectomy, immediate mandibular reconstruction and second-stage surgery, were retrospectively analysed. The size of segmental mandible defects ranged from 6 to 13cm. Surgicase for cranio-maxillofacial reconstruction software was used for patients with mandible defects greater than 10cm. Results: One flap loss occurred related to vascular thrombosis. The survival rate was 96.97%, and the mean follow-up was 26months. A total of 81 osseointegrated dental implants were placed in 25 patients with adequate outcomes; 21 patients (63.64%) showed complete recovery, and in 18 out of these 21 patients, occlusion rehabilitation with fixed dentures benefitted from an appropriate distance between upper teeth and new alveolar bone. Donor-site morbidity was moderate, and most of the patients were satisfied with their functional and aesthetic results. Conclusions: Our results show that deep circumflex iliac artery is a reliable method for reconstructing hemimandibular body defects with an acceptably low rate of morbidity. The iliac crest is a safe foundation for the placement of osseointegrated implants, which enable good reconstruction and further improve life quality of patients. Royal Academy of Medicine in Ireland, 2013 Mandible reconstruction nationallicence DCIA nationallicence Rehabilitation nationallicence Segmental mandibulectomy nationallicence Implant nationallicence Qu X. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut Zhang C. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut Yang W. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut Wang M. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 493-498 0021-1265 182:3<493 2013 182 11845 https://doi.org/10.1007/s11845-013-0921-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11845-013-0921-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Qu X. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut NATIONALLICENCE 700 1- Zhang C. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut NATIONALLICENCE 700 1- Yang W. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut NATIONALLICENCE 700 1- Wang M. Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, College of Stomatology, Shanghai JiaoTong University, No. 639, Zhizaoju Road, 200011, Shanghai, China aut NATIONALLICENCE 773 0- Irish Journal of Medical Science Springer-Verlag 182/3(2013-09-01), 493-498 0021-1265 182:3<493 2013 182 11845 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer