Dental Rehabilitation of the Scapular Tip in Maxillary Reconstruction

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2026-10-10 Epub Date: 2026-05-20 DOI:10.1002/hed.70251

Leba M. Sarkis, John Lee, Karl Cuddy, Brian Rittenberg, Majd Al Mardini, Christopher MKL Yao, Sharon Tzelnick, David Goldstein, Ralph Gilbert, John R. de Almeida

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Abstract

Introduction

The fibula-free flap has traditionally been utilized to perform dental rehabilitation following maxillectomy. The purpose of this study is to present our experience with dental implantation of the scapula–tip-free flap in midface reconstruction.

Methods

Fifteen adult patients underwent midface reconstruction with dental implantation using the scapula tip between January 2013 and December 2023. Implant success was defined as maintenance of the implant after 6 months of healing with associated functional prosthetic rehabilitation.

Results

A total of 35 implants were placed into 15 scapula-free flaps. There were four implant failures (11.4%) that occurred in three patients (20%) during the study period resulting in an overall implant success rate of 88.6% with a median follow-up period of 2.8 years. All patients were restored with a removable implant overdenture.

Conclusion

Dental implantation can be achieved in the scapula tip following maxillectomy with a high degree of success.

Abstract Image

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上颌重建术中肩胛骨尖端的牙科康复。

无腓骨皮瓣传统上用于上颌切除术后的牙科康复。本研究的目的是介绍我们在中脸重建中应用无肩胛骨尖瓣种植的经验。方法：2013年1月至2023年12月，15例成人患者行肩胛骨尖牙种植面中重建术。种植体的成功定义为种植体在6个月的愈合和相关的功能性假肢康复后的维持。结果：15个无肩胛骨皮瓣共植入35个假体。在研究期间，3名患者（20%）发生了4次种植失败（11.4%），总体种植成功率为88.6%，中位随访期为2.8年。所有患者均采用可移动种植覆盖义齿修复。结论：上颌切除术后在肩胛骨尖种植牙成功率高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.