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Two-Stage Functional Rehabilitation with Free Flap and Dental Implantation in Oral Cancer Patients Receiving Extensive Maxillectomy and Postoperative Radiotherapy-A Case Report

以分期皮瓣手術及植牙重建曾接受上顎骨切術及放射線治療之口腔癌病患咀嚼功能-病例報告

摘要


We present a case maxillary reconstruction with dental rehabilitation using a two-staged approach. Following the extirpation of a palatomaxillary tumour on anterolateral thigh (ALT) flap was used for primary reconstruction to prevent oro-antral communication and in preparation for postoperative radiotherapy. With a one-year disease free interval after the completion of radiotherapy, total maxillary rehabilitation was achieved with a vascularized fibula bone graft and primary placement of dental implant with good functional result.

並列摘要


本文報告一病例以分期皮瓣手術重建上顎因癌變手術切除,同時以大腿内側皮瓣修補上顎缺損區,經放射線治療,一年後經腫瘤團隊醫師判定預後良好,再次以腓骨皮瓣合併立即性人工植體種植方式,重建病患的咀嚼功能,經10年的追跡,無復發且獲得良好的功能性修復。

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