Case atlas — every figure of every case the hour shows

16 published cases · 119 figures, in the order the authors published them. Click any figure to open it full size. Back to the deck in the other tab.

Sass 2021

Esthetic and functional reconstruction of large mandibular defects using free fibula flap and implant-retained prosthetics - a case series with long-term follow-up Head & Face Medicine 2021 doi:10.1186/s13005-021-00297-9

Sass et al. 2021. Reproduced under CC BY 4.0.

panoramic x ray top preoperative situation pathological
Figure 1Case 1. Panoramic X-ray images. Top: the preoperative situation. The pathological fracture of the right side of the extremely atrophied mandible with fractured mini plate. The right side was so extremely atrophied in this case that the mandibular bone underwent resorption after the augmentation. Bottom: panoramic X-ray at the 6-year follow-up: the entire body of the mandible was reconstructed with free vascularised fibula flap; dental rehabilitation was provided with two osseointegrated implants
clinical presentation physical before top years
Figure 2Case 1. Clinical presentation. A: physical presentation before (top) and 6 years after the reconstructive surgery (bottom). The pathological fracture caused marked facial asymmetry (top left) and an orocutaneous fistula had also formed (top right). The surgery eliminated the orocutaneous fistula and brought lasting improvement in the patient’s facial symmetry. B: preoperative status-the floor of the mouth protrudes because of the extreme atrophy and the lack of keratinised gingiva. C: status at the 6-year follow-up. No signs of inflammation or pocket formation around implants
panoramic x ray preoperative situation pathological fracture
Figure 3Case 2. Panoramic X-ray images. A: the preoperative situation. The pathological fracture of the left side of the extremely atrophied mandible. B: panoramic X-ray at the 5-year follow-up: the entire body of the mandible was reconstructed with free vascularised fibula flap. The patient received a screw-retained bridge on six osseointegrated implants. No bone resorption was noted around the implant sites
clinical presentation before surgery top year
Figure 4Case 2. Clinical presentation. A: before the surgery (top) and at the 5-year follow-up (bottom). B: The denture at the 5-year follow-up. The buccal aspect of the skin paddle was successfully thinned to an extent that - via the removal of the subcutaneous fat - it was possible to make an esthetically favorable outcome (C shows that the skin paddle is still visible in the floor of the mouth). At the same time, this method yields a sufficient amount of keratinised gingiva
panoramic x ray status radical cancer surgery
Figure 5Case 3. Panoramic X-ray images. A: status after the radical cancer surgery and before osseous reconstruction; B: status at the 5-year follow-up: the mandible was reconstructed with free vascularised fibula flap. No bone resorption was observed at the implant sites
clinical presentation three years radical cancer
Figure 6Case 3. Clinical presentation. A: three years after the radical cancer surgery. Clinical picture after gingivoplasty. The implants were surrounded by keratinised gingiva. Neither inflammation nor pocket formation was observed. B and C: clinical presentation at the 5-year follow-up