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J Oral Maxillofac Surg. 2017 Feb;75(2):438.e1-438.e6. doi: 10.1016/j.joms.2016.11.001. Epub 2016 Nov 9.

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.

Author information

1
Assistant Professor, Departments of Oral and Maxillofacial Surgery, Head and Neck Oncology, and Microvascular Surgery, School of Dentistry, University of Texas Health Sciences Center at Houston, Houston, TX. Electronic address: James.C.Melville@uth.tmc.edu.
2
Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL.
3
Staff Surgeon, Naval Medical Center Portsmouth, Portsmouth, VA; Assistant Professor of Surgery, Uniformed Services, University of the Health Sciences, Bethesda, MD.
4
Professor and Chief, Department of Oral and Maxillofacial Surgery, University of Miami/Jackson Memorial Hospital, Miami, FL.

Abstract

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.

PMID:
27908574
DOI:
10.1016/j.joms.2016.11.001
[Indexed for MEDLINE]

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