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Lee KC, Frias V, Ozturk C, Best DL, Markiewicz MR. Bimaxillary Immediate Prosthetic Rehabilitation Using a Custom Maxillary Subperiosteal Implant and Fibula-Free Flap Mandibular Reconstruction After Tumor Ablation. J Craniofac Surg 2024:00001665-990000000-01367. [PMID: 38376146 DOI: 10.1097/scs.0000000000010042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 01/08/2024] [Indexed: 02/21/2024] Open
Abstract
Subperiosteal implants (SPIs) using rigid fixation have recently emerged as an acceptable alternative to conventional endosteal implants when there is limited or absent alveolar bone. Modern advances in digital technology and manufacturing have improved the usability and stability of this latest generation of SPIs. Herein, we present the first reported case of a modern patient-specific SPI placed in the United States and, to the authors' knowledge, the first reported case performed in conjunction with a simultaneous free flap reconstruction of the opposing arch, and immediate dental rehabilitation of both arches in the world.
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Affiliation(s)
- Kevin C Lee
- Department of Oral Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY
- Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, NY
| | - Vladimir Frias
- Department of Oral Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY
| | - Can Ozturk
- Department of Head and Neck/Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY
- Department of Surgery, Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - David L Best
- Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, NY
| | - Michael R Markiewicz
- Department of Oral and Maxillofacial Surgery, University at Buffalo, Buffalo, NY
- Department of Head and Neck/Plastic and Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY
- Department of Oral and Maxillofacial Surgery, School of Dental Medicine, University at Buffalo, Buffalo, NY
- Department of Neurosurgery, Division of Pediatric Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY
- Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Roswell Park Comprehensive Cancer Center, Buffalo, NY
- Department of Pediatric Craniomaxillofacial Surgery, Craniofacial Center of Western New York, John Oishei Children's Hospital, Roswell Park Comprehensive Cancer Center, Buffalo, NY
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