Related Experiment Video
Updated: Jun 4, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[Functional maxillary reconstruction with free composite fibula flap].
Xin Peng1, Chi Mao, Guang Yan Yu
1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China. pxpengxin@263.net
Summary
Free fibula flaps offer a successful solution for reconstructing maxillary defects, restoring both function and appearance. This technique demonstrates high success rates and minimal complications for oral maxillofacial surgery patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Biomaterials Science
Context:
- Maxillary defects from tumor resection or trauma present significant functional and cosmetic challenges.
- Vascularized composite bone flaps and osseointegrated implants represent key advancements in head and neck reconstruction.
- Free fibula flap reconstruction has been extensively researched since 1999 for functional maxillary restoration.
Purpose:
- To analyze clinical data on maxillary reconstruction using free fibula flaps.
- To detail the indications and perioperative principles of this reconstructive technique.
- To introduce a modified flap addressing limitations of traditional methods.
Summary:
- A modified free fibula flexor-hallucis longus myofascial flap was developed and evaluated.
- Objective assessments included donor site morbidity, speech, mastication, and quality of life.
- Three-dimensional finite element analysis examined biomechanical stress distribution on reconstructed maxillae.
Impact:
- Free fibula flaps enable successful reconstruction of maxillary defects.
- This procedure facilitates dental implant or denture rehabilitation, improving aesthetics and oral function.
- The technique boasts a high success rate and low complication rate, making it ideal for maxillary reconstruction.