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Jaw in a Day: How to Perform Your First Case-Our Workflow
Camilo Mosquera1, Hisham Marwan1
1Head and Neck Oncologic Surgery and Microvascular Reconstruction, Department of Surgery, Division of Oral and Maxillofacial Surgery, University of Texas Medical Branch, Galveston, TX 77555, USA; himarwan@utmb.edu.
Craniomaxillofacial Trauma & Reconstruction
|September 24, 2025
Summary
Jaw in a Day (JIAD) reconstruction offers immediate mandibular restoration in one stage. This guide simplifies the complex procedure for surgeons, aiming to increase JIAD adoption and improve patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Biomedical Engineering
Background:
- Jaw in a Day (JIAD) reconstruction integrates fibula free flap, virtual surgical planning (VSP), immediate dental implants, and prosthesis delivery for single-stage mandibular restoration.
- JIAD offers significant benefits in reduced rehabilitation time and improved patient outcomes.
- Adoption is limited by perceived technical complexity and unfamiliarity with dental workflows.
Purpose of the Study:
- To provide a detailed, step-by-step protocol for surgeons performing their first JIAD case.
- To simplify the JIAD procedure, addressing patient selection, VSP, intraoperative coordination, and implant positioning.
- To lower the barrier for early adopters and enhance the success of initial JIAD cases.
Main Methods:
- Detailed protocol covering patient selection, data acquisition, and virtual surgical planning (VSP) execution.
- Emphasis on accurate osteotomy design, guided implant placement, patient-specific hardware fabrication, and prosthesis pickup.
- Guidance on OR team preparation and sterile handling of non-sterile components.
Main Results:
- The protocol breaks down the complex JIAD procedure into actionable stages.
- Highlights common pitfalls and provides technical tips for successful JIAD implementation.
- Aims to facilitate smoother adoption of the JIAD technique.
Conclusions:
- This comprehensive guide aims to demystify the JIAD procedure for surgeons.
- By addressing technical complexities and workflow integration, it seeks to improve the success rate of initial JIAD cases.
- Facilitating wider adoption of JIAD can lead to faster patient recovery and better functional outcomes.
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