Dental Rehabilitation in Maxillomandibular Free Flap Reconstruction

Facial Plast Surg Clin North Am. 2025 Feb;33(1):67-75. doi: 10.1016/j.fsc.2024.07.009. Epub 2024 Sep 17.

Abstract

Microvascular free-flaps have changed reconstructive surgery. For patients undergoing maxillomandibular resections, free-flap surgery, especially use of the osseocutaneous fibula free-flap (FFF) has dramatically altered the ability to provide patients with good functional and aesthetic outcomes despite a large resection. The use of endosseous dental implants along with free-flaps has helped patients return to eating and speaking relatively quickly postoperatively. Implants can be placed primarily or secondarily depending on specific criteria. The Jaw in a Day concept has revolutionized providing patients with a rapid aesthetic and functional outcome for those undergoing maxillomandibular resections.

Keywords: Endosseous implants; Free flap; Jaw-in-a-Day; Microvascular reconstruction.

Publication types

  • Review

MeSH terms

  • Dental Implantation, Endosseous / methods
  • Free Tissue Flaps*
  • Humans
  • Mandibular Reconstruction / methods
  • Maxilla / surgery
  • Plastic Surgery Procedures* / methods