Dental restoration with osseointegrated implants after jaw reconstruction: beyond the fibular height deficiency by distraction osteogenesis and/or prosthodontics

ackground and Objectives: Complex efect is caused by block resection of oral arcinoma frequently, how to reconstruct s challenge work for specialists in oral nd maxillofacial surgery. This research is o investigate clinical effect and prognosis f the sternocleidomastoid myocutaneous ap (MSCM) and sternocleidomastoid yocutaneous with clavicular split bone MSCMCSB) for reconstruction of opertive soft and mandibular defect after oral arcinoma resection, to summarise the feaures, clinical values and intraoperative otes. ethods: Between April 2001 and July 008, in our department, 68 patients who ad operative soft defect or combined ith bone defects after oral carcinoma blation underwent reconstruction with SCM myocutaneous flap and five atients with MSCSB. Postoperatively, hree-dimensional computed tomography nd emission computed tomography, as ell as the postoperative complication heck were used to detect the outcome of he methods. esults: Among the patients a part of he skin underwent necrosis in 3 patients, cases were defaulters. There are no ecroses in the rest 61 cases. All MSCSB hat reconstruct the soft tissue combined ith mandibular defects alive excellent. he donor side can be closed by direct uture. Grafted bone heals satisfactory fter 4 month. 90% of patients were satsfied with their appearance and oral diet. onclusion: MSCM myocutaneous flap nd MSCSB are simple to perform and arely complication rate so that is effecive in reconstruction for operative defects n patients after oral carcinoma resection. hese methods provide the sufficient soft issue and alveolar bone for dental implant at secondary stage. It is alternative to free flap such as free iliac flap and free fibular flap and reasonable to rehabilitate the function of oral and maxillofacial region and improving the quality of life for patients with oral carcinoma.