PDF(Pubmed)
Abstract：
UNASSIGNED: Mandibular reconstruction with the free fibula flap (FFF) has become a standardized procedure. The situation is different with oral rehabilitation, so the purpose of this study was to investigate the frequency of implant placement and prosthetic restoration. Additionally, the patients\' situation, motivation, and treatment course were structurally assessed.
UNASSIGNED: All cases between January 2013 and December 2018 that underwent mandibular reconstruction in our department with a free fibula flap and gave written informed consent to participate were interviewed with two structured questionnaires about their restoration and quality of life. Additionally, medical records, general information, status of implants and therapy, and metric analyses of the inserted implants were performed.
UNASSIGNED: In total 59 patients were enrolled and analyzed in this monocentric study. Overall, oral rehabilitation was achieved in 23.7% at the time of investigation. In detail, implants were inserted in 37.3% of patients and showed an 83.3% survival of dental implants. Of these implanted patients, dental implants were successfully restored with a prosthetic restoration in 63.6. Within this subgroup, satisfaction with the postoperative aesthetic and functional result was 79.9% and with the oral rehabilitation process was 68.2%. Satisfaction with the implant-borne prosthesis was 87.5%, with non-oral-squamous-cell-carcinoma patients being statistically significantly more content with the handling (p=0.046) and care (p=0.031) of the prosthesis.
UNASSIGNED: Despite the well-reconstructed bony structures, there is a need to increase the effort of achieving oral rehabilitation, especially looking at the patient\'s persistent motivation for the procedure.
UNASSIGNED: All cases between January 2013 and December 2018 that underwent mandibular reconstruction in our department with a free fibula flap and gave written informed consent to participate were interviewed with two structured questionnaires about their restoration and quality of life. Additionally, medical records, general information, status of implants and therapy, and metric analyses of the inserted implants were performed.
UNASSIGNED: In total 59 patients were enrolled and analyzed in this monocentric study. Overall, oral rehabilitation was achieved in 23.7% at the time of investigation. In detail, implants were inserted in 37.3% of patients and showed an 83.3% survival of dental implants. Of these implanted patients, dental implants were successfully restored with a prosthetic restoration in 63.6. Within this subgroup, satisfaction with the postoperative aesthetic and functional result was 79.9% and with the oral rehabilitation process was 68.2%. Satisfaction with the implant-borne prosthesis was 87.5%, with non-oral-squamous-cell-carcinoma patients being statistically significantly more content with the handling (p=0.046) and care (p=0.031) of the prosthesis.
UNASSIGNED: Despite the well-reconstructed bony structures, there is a need to increase the effort of achieving oral rehabilitation, especially looking at the patient\'s persistent motivation for the procedure.
摘要：
■使用游离腓骨皮瓣（FFF）进行下颌骨重建已成为标准化程序。口腔康复的情况不同，因此，这项研究的目的是探讨植入物放置和假体修复的频率。此外,病人的情况，动机，和治疗过程进行了结构评估。
2013年1月至2018年12月期间，所有在我们部门接受下颌骨重建的患者均接受了免费腓骨皮瓣并获得书面知情同意书的参与，并接受了两份关于其修复和生活质量的结构化问卷。此外,医疗记录,一般信息,植入物和治疗的状态，并对插入的植入物进行了度量分析。
■在这项单中心研究中，共招募了59名患者并进行了分析。总的来说,调查时口腔康复率为23.7%.详细来说,37.3%的患者植入了种植体,显示83.3%的牙种植体存活率.在这些植入患者中，牙科植入物在63.6中成功修复了假体修复。在这个子组中，对术后美学和功能结果的满意度为79.9％，对口腔康复过程的满意度为68.2％。种植体假体满意度为87.5%,非口腔鳞状细胞癌患者对假体的处理（p=0.046）和护理（p=0.031）有统计学意义。
■尽管骨骼结构重建良好，有必要增加实现口腔康复的努力，尤其是看病人对手术的持续动机。
2013年1月至2018年12月期间，所有在我们部门接受下颌骨重建的患者均接受了免费腓骨皮瓣并获得书面知情同意书的参与，并接受了两份关于其修复和生活质量的结构化问卷。此外,医疗记录,一般信息,植入物和治疗的状态，并对插入的植入物进行了度量分析。
■在这项单中心研究中，共招募了59名患者并进行了分析。总的来说,调查时口腔康复率为23.7%.详细来说,37.3%的患者植入了种植体,显示83.3%的牙种植体存活率.在这些植入患者中，牙科植入物在63.6中成功修复了假体修复。在这个子组中，对术后美学和功能结果的满意度为79.9％，对口腔康复过程的满意度为68.2％。种植体假体满意度为87.5%,非口腔鳞状细胞癌患者对假体的处理（p=0.046）和护理（p=0.031）有统计学意义。
■尽管骨骼结构重建良好，有必要增加实现口腔康复的努力，尤其是看病人对手术的持续动机。
