Relationship between fibula free flap complications and dental
implant outcomes: a retrospective cohort study

J 2026

Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study

ATTIA, Sameh; Michael KNITSCHKE; Abanoub RIAD; Mohamed MEKHEMAR; Kim Natalie STOLTE et al.

Základní údaje

Originální název

Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study

Autoři

ATTIA, Sameh; Michael KNITSCHKE; Abanoub RIAD; Mohamed MEKHEMAR a Kim Natalie STOLTE

Vydání

Frontiers in Oral Health, LAUSANNE, FRONTIERS MEDIA SA, 2026, 2673-4842

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30208 Dentistry, oral surgery and medicine

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.100 v roce 2024

Označené pro přenos do RIV

Ano

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

fibula free flap; dental implants; surgical complications; oral rehabilitation; implant outcomes

Štítky

14110525, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 8. 4. 2026 12:22, Mgr. Tereza Miškechová

Anotace

V originále

Objective: To clarify how fibula free flap (FFF) complications influence clinical and functional outcomes after implant-supported oral rehabilitation. Materials and methods: A single-center retrospective cohort of 29 patients (56.41 ± 12.74 years; 31% female, 69% male) who underwent segmental jaw resection, FFF reconstruction and subsequent implant placement (2002–2010) was analyzed. Demographic, oncologic, flap, implant-related and patient-centered functional variables were extracted; associations were tested with exact, rank and regression statistics (⍺ = 0.05). Result: Patients received 7.14 ± 3.06 implants each and 72% were restored with telescopic overdentures. Recipient-site wound-healing defects (WHD) occurred in 31% and were independently associated with multisegment osteotomies (p = 0.012) and longer operative time (p = 0.026); partial flap loss (PFL) was infrequent (6.9%). WHD reduced maximum inter-incisal opening (MIO) by 0.8 cm and PFL by 2.8 cm, both impairing contour ratings. Implant failure (0.59 ± 1.59) correlated with poorer speech intelligibility (p = 0.004) and lower aesthetic scores (p = 0.032). Nonetheless, 96% of patients spoke intelligibly (with or without concentration), 96% judged their dental aesthetic as good or excellent, and 75% consumed a normal diet. Ordinal regression confirmed the number of fibula segments as the sole predictor of contour (p = 0.001). Conclusions: FFF reconstruction permits dependable, implant-supported rehabilitation, but multisegment osteotomies and prolonged surgery heighten soft-tissue morbidity, which in turn constrains both MIO and appearance. Failed implants further degrade speech intelligibility and aesthetics. Long-term success therefore hinges on balancing the contour gains of complex osteotomies with flap vascular resilience while safeguarding implant stability.

Citovat

ATTIA, Sameh; Michael KNITSCHKE; Abanoub RIAD; Mohamed MEKHEMAR a Kim Natalie STOLTE. Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study. Frontiers in Oral Health. LAUSANNE: FRONTIERS MEDIA SA, 2026, roč. 6, January 2026, s. 1-18. ISSN 2673-4842. Dostupné z: https://doi.org/10.3389/froh.2025.1712296.

@article{2547589,
   author = {Attia, Sameh and Knitschke, Michael and Riad, Abanoub and Mekhemar, Mohamed and Stolte, Kim Natalie},
   article_location = {LAUSANNE},
   article_number = {January 2026},
   doi = {https://doi.org/10.3389/froh.2025.1712296},
   keywords = {fibula free flap; dental implants; surgical complications; oral rehabilitation; implant outcomes},
   language = {eng},
   issn = {2673-4842},
   journal = {Frontiers in Oral Health},
   title = {Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study},
   url = {https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2025.1712296/full},
   volume = {6},
   year = {2026}
}

TY  - JOUR
ID  - 2547589
AU  - Attia, Sameh - Knitschke, Michael - Riad, Abanoub - Mekhemar, Mohamed - Stolte, Kim Natalie
PY  - 2026
TI  - Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study
JF  - Frontiers in Oral Health
VL  - 6
IS  - January 2026
SP  - 1-18
EP  - 1-18
PB  - FRONTIERS MEDIA SA
SN  - 26734842
KW  - fibula free flap
KW  - dental implants
KW  - surgical complications
KW  - oral rehabilitation
KW  - implant outcomes
UR  - https://www.frontiersin.org/journals/oral-health/articles/10.3389/froh.2025.1712296/full
N2  - Objective: To clarify how fibula free flap (FFF) complications influence clinical and functional outcomes after implant-supported oral rehabilitation. Materials and methods: A single-center retrospective cohort of 29 patients (56.41 ± 12.74 years; 31% female, 69% male) who underwent segmental jaw resection, FFF reconstruction and subsequent implant placement (2002–2010) was analyzed. Demographic, oncologic, flap, implant-related and patient-centered functional variables were extracted; associations were tested with exact, rank and regression statistics (⍺ = 0.05). Result: Patients received 7.14 ± 3.06 implants each and 72% were restored with telescopic overdentures. Recipient-site wound-healing defects (WHD) occurred in 31% and were independently associated with multisegment osteotomies (p = 0.012) and longer operative time (p = 0.026); partial flap loss (PFL) was infrequent (6.9%). WHD reduced maximum inter-incisal opening (MIO) by 0.8 cm and PFL by 2.8 cm, both impairing contour ratings. Implant failure (0.59 ± 1.59) correlated with poorer speech intelligibility (p = 0.004) and lower aesthetic scores (p = 0.032). Nonetheless, 96% of patients spoke intelligibly (with or without concentration), 96% judged their dental aesthetic as good or excellent, and 75% consumed a normal diet. Ordinal regression confirmed the number of fibula segments as the sole predictor of contour (p = 0.001). Conclusions: FFF reconstruction permits dependable, implant-supported rehabilitation, but multisegment osteotomies and prolonged surgery heighten soft-tissue morbidity, which in turn constrains both MIO and appearance. Failed implants further degrade speech intelligibility and aesthetics. Long-term success therefore hinges on balancing the contour gains of complex osteotomies with flap vascular resilience while safeguarding implant stability.
ER  -

ATTIA, Sameh; Michael KNITSCHKE; Abanoub RIAD; Mohamed MEKHEMAR a Kim Natalie STOLTE. Relationship between fibula free flap complications and dental implant outcomes: a retrospective cohort study. \textit{Frontiers in Oral Health}. LAUSANNE: FRONTIERS MEDIA SA, 2026, roč.~6, January 2026, s.~1-18. ISSN~2673-4842. Dostupné z: https://doi.org/10.3389/froh.2025.1712296.

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