Rehabilitation with endosseous implants in fibula free-flap mandibular reconstruction: A case series of up to 10 years

S. Ferrari, C. Copelli, B. Bianchi, A. Ferri, T. Poli, T. Ferri, P. Gallesi, E. Sesenna, B. C. Brevi

Research output: Contribution to journalArticlepeer-review


Purpose: To evaluate the clinical outcome and the aesthetic and functional results of implant rehabilitation of fibula free-flap reconstructed mandibles. Materials and methods: The charts of patients who underwent mandibular reconstruction with fibula free flap and implant prosthodontic rehabilitation between 1998 and 2008 at the Operative Unit of Maxillofacial Surgery of Parma, Italy, were reviewed. In the study the estimated survival rates of implants placed in reconstructed mandibles we identified the prognostic factors and evaluated the functional outcomes. Results: Fourteen patients with a mean age of 50 years (range 15-63 years), were included in the study. A total of 62 implants were positioned. Complications occurred in 7 cases, an improvement in function and aesthetics was reported by the majority of patients. Conclusions: A high survival rate for implants placed in fibula free-flap reconstructed mandibles was observed. Although different factors were believed to be associated with a poorer prognosis (radiotherapy, composite defects, etc.) no statistically significance was found, showing no absolute contraindications to implant placement.

Original languageEnglish
Pages (from-to)172-178
Number of pages7
JournalJournal of Cranio-Maxillofacial Surgery
Issue number2
Publication statusPublished - Mar 2013


  • Endosseous implant rehabilitation
  • Fibula free flap
  • Mandibular reconstruction

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery


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