Practical Steps toward Prosthodontic Rehabilitation of Free Fibula Flaps: Sequential Techniques of Two Cases

The free fibula flap has become a relatively common reconstruction modality for composite defects of the maxillo-mandibular skeleton. After establishment of vascular and osseous integration, the next functional goal would include prosthetic rehabilitation. There are specific biological and bio-mechanical parameters required to optimize the success of prosthodontic rehabilitation. These requirements translate to a specific set of surgical modifications to the composite free flap. These case illustrations will outline the sequence of events from a well-established free fibula flap to implant supported hybrid denture. This case review will emphasize anatomical variation of the fibular bone, soft tissue profile, and spatial orientation in light of prosthodontic goals.