Fibula Jaw-during-Admission

Area of Science:

• Oral and Maxillofacial Surgery
• Reconstructive Surgery
• Dental Implantology

Background:

• Fibula Jaw-in-a-Day (JIAD) is an advanced technique for mandibular reconstruction and dental rehabilitation.
• JIAD presents limitations and challenges that necessitate alternative approaches.
• Fibula Jaw-during-Admission (JDA) is proposed as a refined solution.

Purpose of the Study:

• To evaluate the efficacy and outcomes of the Fibula Jaw-during-Admission (JDA) technique.
• To compare JDA with the existing Fibula Jaw-in-a-Day (JIAD) approach.
• To assess the feasibility of simultaneous mandibular reconstruction and dental rehabilitation.

Main Methods:

• Six patients underwent segmental mandibulectomy with simultaneous fibula transfer and immediate dental implantation (JDA).
• Temporary dental prostheses were fabricated using intraoral scans and fitted before discharge.
• Permanent prostheses with normal occlusion were fitted approximately six months post-surgery.

Main Results:

• All six JDA surgeries were successful, with good functional and aesthetic outcomes.
• Follow-up (12-34 months) demonstrated positive results in all patients.
• Four patients required secondary procedures for granulation tissue management.

Conclusions:

• Fibula JDA is a superior alternative to JIAD for simultaneous mandibular reconstruction and dental rehabilitation.
• JDA eliminates the need for postoperative intermaxillary fixation, reducing patient stress.
• The technique offers greater precision and flexibility in dental prosthesis fabrication and fitting.