ArticleOral and maxillofacial surgery2025
Primary reconstruction of total maxillectomy defect with additively manufactured subperiosteal implant and fibula free flap: a case report.
Article in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Oral rehabilitation of patients with cancer: challenges following surgical resection.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Review
- Patient-Specific Subperiosteal Implants for Oral and Maxillofacial Rehabilitation: A Scoping Review Across Indications, from Established Full-Arch Use to Emerging Single-Tooth and Oncologic Applications.Journal of clinical medicine · 2026Review
- Treatment of Severe Atrophy with Juxta-Osseous Implants: A Systematic Review and Case Report.Bioengineering (Basel, Switzerland) · 2026Review
- Emerging Metal Additive Manufacturing for Individualized Dental Therapies: A Narrative Review.Dentistry journal · 2025Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTotal maxillectomy for malignant tumors presents significant challenges for functional and aesthetic rehabilitation. Advances in digital planning and additive manufacturing have reintroduced subperiosteal implants as a promising solution for primary reconstructions. CASE REPORT: This report details the case of a 59-year-old male with squamous cell carcinoma of the hard palate extending contralaterally, treated with a total maxillectomy and primary reconstruction using an osteomyocutaneous fibula free flap combined with a custom-made, additively manufactured subperiosteal implant. Preoperative planning integrated craniofacial CT scans, dental impressions, and lower limb angiography to design both the implant and fibula cutting guides. The implant, fabricated via direct metal laser sintering, provided a stable framework for fibular segments and future prosthetic rehabilitation. At two years post-surgery, the patient remains disease-free, with no complications and fully functional prosthetic integration.
conclusionsThis case highlights the feasibility, adaptability, and potential benefits of additively manufactured implants in reconstructing total maxillectomy defects. CLINICAL TRIAL NUMBER: N/A.
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