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Revista odontológica mexicana
Print version ISSN 1870-199X
Abstract
GONZALEZ QUERO, Amayeli; PIEDRA GARZA, José De La; SANTAMARIA LINARES, Eric and CASTANO MESA, Mauricio. Mandibular anterior zone reconstruction with fibular microvascularized graft in double barrel. Case report. Rev. Odont. Mex [online]. 2008, vol.12, n.2, pp.88-93. ISSN 1870-199X. https://doi.org/10.22201/fo.1870199xp.2008.12.2.15680.
Mandibular reconstruction has two main purposes: to reestablish function and aesthetics. To achieve this purposes, autogenous non vascularized osseous grafts and alloplastic implants that present some complications such as reabsorption and exposition are used. Osseous vascularized grafts are mainly used for treatment in patients with inappropriate conditions of the graft bed. The fibular microvascularized graft in double barrel offers an adequate bone height, re-establishing the continuity of the basal border and the mandibular alveolar process.
Objective
To demonstrate the use of the fibular microvascularized graft in double barrel for mandibular reconstruction of the anterior segment.
Materials and methods
The surgical procedure was carried out in a 43 year old male patient with fire guns wounds antecedents, the first time treated with a conventional surgical intervention without improvement in function and aesthetic results; that is why it was decided to use the fibular microvasculared graft in double barrel.
Conclusions
Fibular quality and rich blood supply allow the graft located in the anterior mandibular area to present less morbidity. Graft located in double barrel is an alternative that offers stability, height, and bone thickness to achieve a functional mandibular reconstruction that provides an adequate support to place osteointegrate implants and its consecutive prosthetic rehabilitation.
Keywords : Mandibular reconstruction; microvascularized graft; microvascular surgery; vascularized graft; microvascularized free graft.
