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Management of an Imminent Pathological Fracture of a Fibular Neomandible Via a Minimally Invasive Approach—A Case Report
Author(s) -
Yang David H.,
Chubb David W.R.,
Nguyen Caroline Tram
Publication year - 2020
Publication title -
journal of prosthodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.902
H-Index - 60
eISSN - 1532-849X
pISSN - 1059-941X
DOI - 10.1111/jopr.13262
Subject(s) - medicine , fibula , surgery , prosthesis , pathological , population , complication , dentistry , pathology , tibia , environmental health
Fibular free flap reconstruction remains the workhorse of postmandibulectomy reconstruction. Dental implantation to support a dental prosthesis is a sought‐after outcome when the area of resection involves tooth‐bearing zones. Chronic perisoft tissue pedicle hyperplasia with secondary infection leading to gradual bone loss is a simple complication to manage in the general population, but it becomes a serious issue in the fibula mandibular reconstruction patient in that it can lead to pathological fracture of the fibula. A case of a patient with a near fracture of his fibula mandibular reconstruction, and its management via a minimally invasive approach is presented.