The greatest challenge here is initially to achieve stable and permanent wound closure in order to avoid the frequent relapses associated with this disease. We mainly use local intraoral and extraoral flaps for this purpose. In addition, adequate dental rehabilitation is a top priority in order to guarantee patients a sufficient quality of life. However, when complete jaw sections are lost, purely prosthetic rehabilitation options often reach their limits. In such cases, thanks to the latest digital CAD/CAM techniques, it is possible for us to perform the reconstruction using a patient-specific planned microvascular anastomosed fibula in a surgical procedure at the same time as the surgical removal of the affected areas of the jaw.
3D CT of a patient-specific fibular construction.
For the rarer non-infectious osteomyelitis, we can offer our patients an interdisciplinary treatment approach thanks to the USZ’s internal network with the clinics for rheumatology and immunology.
