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Maxillary reconstruction with the free fibula flap
Xin Peng1, Chi Mao, Guang-yan Yu
1Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing, People's Republic of China. pxpengxin@263.net
Plastic and Reconstructive Surgery
|April 30, 2005
Summary
Free fibula flap reconstruction effectively restores maxillary defects, enabling oral function and improving aesthetics. This procedure demonstrates a high success rate with minimal complications for patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Reconstructive Surgery
Background:
- Maxillary defects present significant challenges in oral function and aesthetics.
- Free fibula flap (FFF) is a reconstructive option for these defects.
Purpose of the Study:
- To evaluate the outcomes of FFF in reconstructing maxillary defects.
- Assess functional and aesthetic results post-reconstruction.
Main Methods:
- Retrospective review of 34 consecutive FFF cases for maxillary reconstruction.
- Analysis of primary diseases, defect types, flap design, complications, and functional outcomes.
- Evaluation of oral diet, speech, dental restoration, and aesthetics.
Main Results:
- FFF transfer was successful in all 34 patients.
- High success rate with excellent cosmetic outcomes in 22 patients.
- Functional improvements noted in oral diet and speech; dental rehabilitation achieved in 23 patients.
Conclusions:
- FFF is a successful method for reconstructing alveolar arch defects.
- Facilitates dental implant rehabilitation, enhancing appearance, oral function, and quality of life.
- FFF offers a high success rate and low complication rate for maxillary reconstruction.