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Jaw-in-a-day (JIAD) for malignant indications: A systematic review
Jessica Trac1, Rashi Ramchandani2, Pallavi Dutta3
1Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Oral Oncology
|December 21, 2025
Summary
Jaw-in-a-day (JIAD) offers successful resection, reconstruction, and dental rehabilitation for head and neck cancer (HNC) patients. However, adjuvant radiation increases the risk of osteoradionecrosis-associated prosthesis failure, necessitating careful patient selection and risk-benefit discussion.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Reconstructive Surgery
Background:
- Jaw-in-a-day (JIAD) combines resection, maxillofacial reconstruction, and immediate dental rehabilitation.
- Evidence for JIAD in oncologic populations, specifically head and neck cancer (HNC), is limited.
- This study systematically reviews JIAD outcomes in HNC patients.
Conclusions:
- Jaw-in-a-day (JIAD) can achieve high success rates in select head and neck cancer (HNC) patients and defects.
- While early osseointegration is favorable, adjuvant radiation therapy increases the risk of ORN-related prosthesis failure.
- Careful consideration of risks, benefits, and cancer staging is crucial for patient selection in JIAD for HNC.
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