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conferenceseries
.com
May 01-02, 2017 Toronto, Canada
2
nd
International Conference on
Restorative Dentistry and Prosthodontics
Volume 5, Issue 1 (Suppl)
J Oral Hyg Health
ISSN: 2332-0702 JOHH, an open access journal
Restorative Dentistry & Prosthodontics 2017
May 01-02, 2017
J Oral Hyg Health 2017, 5:1 (Suppl)
http://dx.doi.org/10.4172/2332-0702-C1-006Fibula flap as a saviour to avert disability - Frommandibular reconstruction to prosthetic rehabilitation
Pankaj P Kharade
Z A Dental College - Aligarh Muslim University, India
P
rosthetic management after resection of mandible creating mandibular discontinuity is very complicated due to muscular
imbalance on the residual portion of the mandible. The treatment result and prognosis of prosthetic rehabilitation of these
patients is extremely poor. Disfigured face is the principal concern of the patient due to worsened cosmetic appearance. Such kind of
imbalanced forces create masticatory difficulty. Thus the overall physical condition leads to deprived quality of life of the patients. The
composite fibular flap is the preferred donor site for most complex orofacial-mandibular defects as an ideal choice for rehabilitation
of mandibular discontinuity defects. The addition of a skin island with the fibula flap allows for absolute tension-free intraoral
closure that enhances tongue mobility. The fibula osteomyocutaneous flap is basically recommended for reconstruction of lateral and
symphyseal composite defects that include extensive amounts of intraoral mucosa, tongue, and external skin. After reconstruction
with free fibula graft, prosthodontic rehabilitation can be planned in a range of ways. This paper flings light on different clinical
considerations and treatment alternatives to rehabilitate the patient who have undergone mandibular resection and reconstruction
with free fibula flap.
drpankaj.pgi08@gmail.com