Primary, secondary implant equal for fibula free tissue transfer

May 8, 2018

(HealthDay)—For patients with a fibula free tissue transfer (FFTT) for osteoradionecrosis (ORN) and osteonecrosis (ON) of the mandible, the rate of complications is similar for patients undergoing primary and secondary dental implantation, according to a study published online May 3 in JAMA Facial Plastic Surgery.

Deanna C. Menapace, M.D., from the Mayo Clinic in Rochester, Minn., and colleagues conducted a retrospective review of 23 patients undergoing primary implantation (12 patients) or secondary implantation (11 ) after FFTT for ORN and ON.

The researchers found that a mean of 5.2 implants were performed per patient, for a total of 121 . In the primary implantation group, there was one complete flap failure. Timing of implantation had no effect on flap or implant complications. In the primary and secondary implantation groups, the implant survival rate was 95 and 98 percent, respectively. The time from FFTT to abutment placement was significantly shorter after primary implantation (19.6 versus 61.0 weeks; P < 0.001). There was no statistically significant improvement in speech and oral competence in the primary implantation group. The fixed unit (U) costs for primary and secondary implantation were 1.0 and 1.24 U, respectively.

"Although dental implantation was safe and effective in both groups, the decreased time to use and the decreased overall cost should prompt surgeons to consider primary implantation after FFTT for ORN and ON," the authors write.

Explore further: Survival down with ventricular arrhythmia early post CF-LVAD

More information: Abstract/Full Text

Related Stories

Survival down with ventricular arrhythmia early post CF-LVAD

December 26, 2017
(HealthDay)—For patients post contemporary continuous flow left ventricular assist device (CF-LVAD) implantation, early ventricular arrhythmias (VAs) are associated with significantly reduced survival, according to a study ...

Patient, caregiver characteristics predict LVAD response

March 8, 2018
(HealthDay)—For patients receiving left ventricular assist device (LVAD) therapy and their caregivers, patient and caregiver characteristics predict response, according to a study published online March 7 in the Journal ...

Risk up for triple Tx versus DAPT in DES implantation with A-fib

May 23, 2017
(HealthDay)—For patients undergoing percutaneous coronary intervention (PCI) with drug-eluting stents (DES), atrial fibrillation (AF) is associated with increased risks, with no benefit and higher risk seen for triple therapy ...

Antifibrotics up outcomes after ahmed glaucoma valve implant

August 11, 2016
(HealthDay)—Mitomycin C (MMC) and 5-flurouracil (5-FU) improve outcomes following Ahmed glaucoma valve (AGV) implantation, according to a study published online Aug. 4 in Clinical & Experimental Ophthalmology.

Rapid deployment valve for aortic stenosis ups stroke risk

April 13, 2018
(HealthDay)—For patients with aortic valve stenosis, treatment with a rapid deployment valve (RDV) is associated with increased rates of new-onset pacemaker implantation and disabling stroke, compared with conventional ...

Cochlear implantation improved speech perception, cognitive function in older adults

March 12, 2015
Cochlear implantation was associated with improved speech perception and cognitive function in adults 65 years or older with profound hearing loss, according to a report published online by JAMA Otolaryngology-Head & Neck ...

Recommended for you

Clues found to early lung transplant failure

May 21, 2018
Among organ transplant patients, those receiving new lungs face a higher rate of organ failure and death compared with people undergoing heart, kidney and liver transplants. One of the culprits is inflammation that damages ...

In breakthrough, surgeon builds windpipes from arteries

May 20, 2018
Where others failed, sometimes spectacularly, French surgeon Emmanuel Martinod has helped people whose windpipes have been ravaged by cancer and other diseases to live and breathe normally again.

Blood type O patients may have higher risk of death from severe trauma

May 1, 2018
Blood type O is associated with high death rates in severe trauma patients, according to a study published in the open access journal Critical Care that involved 901 Japanese emergency care patients.

Brains, eyes, testes: off-limits for transplants?

April 28, 2018
Since the world's first successful organ transplant in 1954—a kidney—the discipline has advanced to the point where a wounded soldier could have his penis and scrotum replaced in a groundbreaking operation last month.

Emergency treatment by older surgeons linked to slightly lower death rates

April 26, 2018
Patients undergoing emergency surgery who are treated by older surgeons (aged 60 or over) have slightly lower death rates in the first few weeks after their operation than patients treated by younger surgeons (aged less than ...

Bionic suit helps paralyzed patients stand and walk again

April 25, 2018
Patients undergoing physical rehabilitation at Rush for paralyzing injuries are being aided by a robotic suit designed to help raise people to full height and walk.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.