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1Professor and Head of Department of Oral and Maxillofacial Surgery, Egypt
1Lecturer of Department of Oral and Maxillofacial Surgery, Egypt
*Corresponding author: Wael Ahmed Elmohandis, Professor and Head of Department of Oral and Maxillofacial Surgery, Cairo, Egypt and Samy Saeed Elnaas, Lecturer of Department of Oral and Maxillofacial Surgery, Cairo, Egypt
Submission: September 27, 2022Published: September 16, 2021
ISSN:2637-7764Volume7 Issue4
Objectives: Reconstruction of mandibular defect after resection of ameloblastoma using free vascular
fibula flap and endosseous dental implants.
Surgical Procedure: Ameloblastoma was resected under general anesthesia with proper safety margins
and the mandibular defect was reconstructed immediately with vascularized free fibula flap connected
to surgical ped vessels. Pre-contoured reconstruction titanium plate was manipulated to fix proximal
and distal segment of the mandible together with the fibula flap. After healing phase, endosseous dental
implants were installed via transmucosal approach under local anesthesia.
Conclusion: Reconstruction of mandibular defects using free vascular fibula flap and endosseous
implant is considered as a valid and successful technique to obtain proper function and esthetics.
Moreover, it seems that using regular diameter dental implants in fibular bone is much more successful
than using wider diameter fixtures in stability and osseointegration.
Keywords: Ameloblastoma; Fibula flap; Endosseous implant
Ph.D in Agriculture from Faculty of Agriculture, Tohoku University
Research Professor, PhD, Holistic Research Institute
Professor, Chief Doctor, Director of Department of Pediatric Surgery, Associate Director of Department of Surgery, Doctoral Supervisor Tongji hospital, Tongji medical college, Huazhong University of Science and Technology
Senior Research Engineer and Professor, Center for Refining and Petrochemicals, Research Institute, King Fahd University of Petroleum and Minerals (KFUPM), Dhahran, Saudi Arabia
Fellow of International Agency for Standards and Ratings (IASR), Edith Cowan University, Sarich Neuroscience Research Institute
Chancellor Emeritus / Professor Emeritus of Chemistry and Physics, University of Missouri–St. Louis
Ph.D in Science from the Federal University of Alagoas, UFAL, Brazil
Assistant Professor in College of Architecture, Art and Design
Interim Dean, College of Education and Health Sciences, Director of Biomechanics Laboratory, Sport Science Innovation Program, Bridgewater State University
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