Related Experiment Video
Updated: Mar 9, 2026
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Jaw in a Day: State of the Art in Maxillary Reconstruction
Christopher M Runyan1, Vishal Sharma, David A Staffenberg
1*Hansjörg Wyss Department of Plastic Surgery, New York University†Department of Prosthodontics, New York University College of Dentistry‡Department of Pediatrics, Memorial Sloan-Kettering Cancer Center§New York Head and Neck Institute, Northwell, Lenox Hill Hospital, New York, NY.
Background:
Reconstruction of maxillary defects following tumor extirpation is challenging because of combined aesthetic and functional roles of the maxilla. One-stage reconstruction combining osseous free flaps with immediate osseointegrated implants are becoming the standard for mandibular defects, and have similar potential for maxillary reconstruction.
Methods:
A woman with maxillary Ewing sarcoma successfully treated at age 9 with neoadjuvant chemotherapy, right hemimaxillectomy, and obturator prosthetic reconstruction presented for definitive reconstruction, complaining of poor obturator fit, and hypernasality. Her reconstruction was computer-simulated by a multidisciplinary team, consisting of left hemi-Lefort I advancement and right maxillary reconstruction with a free fibula flap with immediate osseointegrated implants and dental prosthesis.
Results:
Full dental restoration, midface projection, and oral fistula corrections were achieved in 1 operative stage using this approach.
Conclusions:
This patient demonstrates a successful approach for maxillary reconstruction using computer-planned orthognathic surgery with free fibula reconstruction and immediate osseointegrated implants with dental prosthesis.
