Segmental mandibular defect fibula graft repair and reconstruction with vertical segmented distraction osteogenesis and implant rehabilitation:A case report
Objective:To report a case of segmental vertical distraction osteogenesis and dental implantation after fibula reconstruction of segmental defect of mandible in the 920th Hospital of Joint Logistics Support Force,PLA in August 2020.Methods:In stage Ⅰ,the mandibular fibula flap was cut horizontally and vertically and a built-in distractor was implanted.According to the principle of distraction osteogenesis and the bone height requirements for implantation,the fibula segmental vertical distraction treatment was completed;in stage Ⅱ,the distractor was removed and dental implants were installed.Results:According to the imaging examination and intraoperative findings,good bone height was obtained through fibula segmental vertical distraction osteogenesis,and the initial stability of the implant was good.Conclusion:The segmental vertical distraction osteogenesis of the fibular flap can be used as an effective technique to increase the bone height after the fibular flap reconstruction.