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Updated: Jun 12, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

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Published on: January 28, 2020

Jaw-in-a Day: Process Improvement and Outcomes.

Cristina Benites1, Christian E Davila2, Dustin J Conrad1

  • 1Department of Otolaryngology - Head & Neck Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|February 19, 2026
PubMed
Summary
This summary is machine-generated.

The Jaw-in-a-Day reconstruction offers a feasible approach for jaw defects, achieving high flap and implant survival. A two-surgeon workflow significantly improves operative efficiency.

Keywords:
Jaw in a Dayfunctional outcomesmaxillofacial reconstructionmicrovascular reconstructionoral cancer reconstructionprosthodonticsvirtual surgical planning

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Jaw reconstruction is complex, requiring functional and oncologic restoration.
  • The Jaw-in-a-Day approach aims to streamline this process.
  • Evaluating institutional experience is crucial for refining surgical models.

Purpose of the Study:

  • To describe institutional experience with the Jaw-in-a-Day reconstruction.
  • To assess functional, oncologic, and surgical outcomes.
  • To evaluate an efficient and reproducible model for benign and malignant cases.

Main Methods:

  • Retrospective case series of 33 patients undergoing Jaw-in-a-Day reconstruction (Jan 2023-Jan 2024).
  • Included fibula or scapula free flap reconstruction with immediate dental implantation and provisional prosthesis.
  • Compared outcomes based on prosthesis capture method and team composition (single vs. two-surgeon).

Main Results:

  • 33 patients (20 malignant, 13 benign/traumatic) underwent reconstruction; all flaps survived.
  • Implant survival was 97%.
  • A two-surgeon approach significantly reduced operative time by 4h 24m and prosthodontic time by 2 hours.

Conclusions:

  • Jaw-in-a-Day is a feasible approach for benign and malignant jaw reconstruction.
  • High flap and implant survival rates were observed.
  • Process refinements, especially a two-surgeon workflow, enhance efficiency.