Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft

Double-barrel flap, vertical distraction and iliac crest graft are used to reconstruct the vertical height of the fibula. Twenty-four patients with fibula flap were reconstructed comparing these techniques (eight patients in each group) in terms of height of bone, bone resorption, implant success ra...

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Autores: Navarro Cuéllar, Carlos, Ochandiano Caicoya, Santiago, Navarro Cuéllar, Ignacio, Valladares Pérez, Salvador, Fariña Sirandoni, Rodrigo, Antúnez Conde, Raúl, Díez Montiel, Alberto, Sánchez Pérez, Arturo, López López, Ana María, Navarro Vila, Carlos, Salmerón Escobar, José Ignacio
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/107950
Acceso en línea:https://hdl.handle.net/20.500.14352/107950
Access Level:acceso abierto
Palabra clave:617
fibula flap
vertical augmentation
double-barrel flap
vertical distraction
iliac crest graft
Ciencias Biomédicas
32 Ciencias Médicas
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spelling Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest GraftNavarro Cuéllar, CarlosOchandiano Caicoya, SantiagoNavarro Cuéllar, IgnacioValladares Pérez, SalvadorFariña Sirandoni, RodrigoAntúnez Conde, RaúlDíez Montiel, AlbertoSánchez Pérez, ArturoLópez López, Ana MaríaNavarro Vila, CarlosSalmerón Escobar, José Ignacio617fibula flapvertical augmentationdouble-barrel flapvertical distractioniliac crest graftCiencias Biomédicas32 Ciencias MédicasDouble-barrel flap, vertical distraction and iliac crest graft are used to reconstruct the vertical height of the fibula. Twenty-four patients with fibula flap were reconstructed comparing these techniques (eight patients in each group) in terms of height of bone, bone resorption, implant success rate and the effects of radiotherapy. The increase in vertical bone with vertical distraction, double-barrel flap and iliac crest was 12.5 ± 0.78 mm, 18.5 ± 0.5 mm, and 17.75 ± 0.6 mm, (p < 0.001). The perimplant bone resorption was 2.31 ± 0.12 mm, 1.23 ± 0.09 mm and 1.43 ± 0.042 mm (p < 0.001), respectively. There were significant differences in vertical bone reconstruction and bone resorption between double-barrel flap and vertical distraction and between iliac crest and vertical distraction (p < 0.001). The study did not show significant differences in implant failure (p = 0.346). Radiotherapy did not affect vertical bone reconstruction (p = 0.125) or bone resorption (p = 0.237) but it showed higher implant failure in radiated patients (p = 0.015). The double-barrel flap and iliac crest graft showed better stability in the height of bone and less bone resorption and higher implant success rates compared with vertical distraction. Radiation therapy did not affect the vertical bone reconstruction but resulted in a higher implant failure.MDPIUniversidad Complutense de Madrid20202020-12-3020202020-12-30journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/107950reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1079502026-06-02T12:44:21Z
dc.title.none.fl_str_mv Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
title Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
spellingShingle Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
Navarro Cuéllar, Carlos
617
fibula flap
vertical augmentation
double-barrel flap
vertical distraction
iliac crest graft
Ciencias Biomédicas
32 Ciencias Médicas
title_short Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
title_full Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
title_fullStr Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
title_full_unstemmed Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
title_sort Vertical Ridge Augmentation of Fibula Flap in Mandibular Reconstruction: A Comparison between Vertical Distraction, Double-Barrel Flap and Iliac Crest Graft
dc.creator.none.fl_str_mv Navarro Cuéllar, Carlos
Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Valladares Pérez, Salvador
Fariña Sirandoni, Rodrigo
Antúnez Conde, Raúl
Díez Montiel, Alberto
Sánchez Pérez, Arturo
López López, Ana María
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
author Navarro Cuéllar, Carlos
author_facet Navarro Cuéllar, Carlos
Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Valladares Pérez, Salvador
Fariña Sirandoni, Rodrigo
Antúnez Conde, Raúl
Díez Montiel, Alberto
Sánchez Pérez, Arturo
López López, Ana María
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
author_role author
author2 Ochandiano Caicoya, Santiago
Navarro Cuéllar, Ignacio
Valladares Pérez, Salvador
Fariña Sirandoni, Rodrigo
Antúnez Conde, Raúl
Díez Montiel, Alberto
Sánchez Pérez, Arturo
López López, Ana María
Navarro Vila, Carlos
Salmerón Escobar, José Ignacio
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 617
fibula flap
vertical augmentation
double-barrel flap
vertical distraction
iliac crest graft
Ciencias Biomédicas
32 Ciencias Médicas
topic 617
fibula flap
vertical augmentation
double-barrel flap
vertical distraction
iliac crest graft
Ciencias Biomédicas
32 Ciencias Médicas
description Double-barrel flap, vertical distraction and iliac crest graft are used to reconstruct the vertical height of the fibula. Twenty-four patients with fibula flap were reconstructed comparing these techniques (eight patients in each group) in terms of height of bone, bone resorption, implant success rate and the effects of radiotherapy. The increase in vertical bone with vertical distraction, double-barrel flap and iliac crest was 12.5 ± 0.78 mm, 18.5 ± 0.5 mm, and 17.75 ± 0.6 mm, (p < 0.001). The perimplant bone resorption was 2.31 ± 0.12 mm, 1.23 ± 0.09 mm and 1.43 ± 0.042 mm (p < 0.001), respectively. There were significant differences in vertical bone reconstruction and bone resorption between double-barrel flap and vertical distraction and between iliac crest and vertical distraction (p < 0.001). The study did not show significant differences in implant failure (p = 0.346). Radiotherapy did not affect vertical bone reconstruction (p = 0.125) or bone resorption (p = 0.237) but it showed higher implant failure in radiated patients (p = 0.015). The double-barrel flap and iliac crest graft showed better stability in the height of bone and less bone resorption and higher implant success rates compared with vertical distraction. Radiation therapy did not affect the vertical bone reconstruction but resulted in a higher implant failure.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-12-30
2020
2020-12-30
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/107950
url https://hdl.handle.net/20.500.14352/107950
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.812429

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