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Updated: Jun 11, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Role of a new orthognathic surgery in maxillomandibular reconstruction by free flaps
Paolo Gennaro1, Andrea Torroni, Alessandra Leonardi
1Cattedra di Chirurgia Maxillo-Facciale, Università di Roma Sapienza, Roma, Italia.
Purpose:
The objective of this study was to describe the orthognathic surgery techniques for the treatment of occlusal anomalies in those patients who underwent complex maxillomandibular reconstruction with bony free flap.
Materials And Methods:
The authors describe their personal technique developed over years of experience with reconstruction of mandibular defects with bony free flaps.
Results:
The outcomes in these patients who were treated according to our surgical planning were completely satisfying, with a 100% stability of the treated bones.
Conclusions:
Orthognathic procedure on bony free flaps for the reconstruction of mandibular defects is nowadays accepted. Patients who underwent major mandibular destruction due to oncologic disease or trauma outcomes can now benefit from this technique.