Reconstruction of a Post-Traumatic Maxillary Ridge Using a Radial Forearm Free Flap and Immediate Tissue Engineering (Bone Morphogenetic Protein, Bone Marrow Aspirate Concentrate, and Cortical-Cancellous Bone): Case Report
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- 作者：James C. Melville ; DDS<sup>&lowast ; sup><sup> ; sup><sup>James.C.Melville@uth.tmc.edusup> ; Ramzey Tursun ; DDS<sup>&dagger ; sup> ; J. Marshall Green III ; DDS<sup>&Dagger ; sup> ; Robert E. Marx ; DDS<sup>§ ; sup>
- 刊名：Journal of Oral and Maxillofacial Surgery
- 出版年：2017
- 出版时间：February 2017
- 年：2017
- 卷：75
- 期：2
- 页码：438.e1-438.e6
- 全文大小：2389 K
- 卷排序：75
文摘
The purpose of this article is to describe reconstruction of the maxillary alveolar ridge by use of a microvascular free flap combined with an immediate tissue-engineered bone graft. This novel surgical technique involved the use of a radial forearm free flap and immediate allogeneic avascular bone graft augmented with bone morphogenetic protein and bone marrow aspirate concentrate. A poly-d,l-lactic acid mesh was used as a containment unit for the bone graft. The patient was successfully treated with a viable radial forearm free flap for soft tissue and regeneration of bone with adequate height and width, which allowed the placement of 3 dental implants with excellent arch coordination. We believe this is the first published case describing such a technique to reconstruct the maxillary alveolus.