Immediate microvascular maxillofacial reconstruction and dental rehabilitation: protocol, case report, and literature review

Abstract

Maxillomandibular ablation and reconstruction includes a series of procedures that can be disfiguring and emotionally traumatic for a patient while treating maxillofacial disease. Often times, the process of regaining full form and function may take months to years for a patient. With the advent of modern day technology and virtual surgical planning, some patients may benefit from a single operation that includes disease ablation, microvascular reconstruction, and immediate dental rehabilitation, also known as “Jaw in a Day”.

Keywords

Endosseous implants / free fibula flap / immediate reconstruction / Jaw in a Day / mandibular reconstruction / maxillary reconstruction / virtual surgical planning

References

[1] Levine JP,Soares M.Jaw in a day: total maxillofacial reconstruction using digital technology.Plast Reconstr Surg2013;131:1386-91

[2] Qaisi M,Swedenburg G,Caloss R.Fibula Jaw in a Day: state of the art in maxillofacial reconstruction.J Oral Maxillofac Surg2016;74:1284.e1-1284.e15

[3] Lee ZH,Monaco C,Hirsch DL.Optimizing functional outcomes in mandibular condyle reconstruction with the free fibula flap using computer-aided design and manufacturing technology.J Oral Maxillofac Surg2018;76:1098-106

[4] Meloni SM,De Riu G.Guided implant surgery after free-flap reconstruction: four-year results from a prospective clinical trial.J Craniomaxillofac Surg2015;43:1348-55

[5] Okay DJ,Urken M,Lazarus C.Computer-assisted implant rehabilitation of maxillomandibular defects reconstructed with vascularized bone free flaps.JAMA Otolaryngol Head Neck Surg2013;139:371-81

[6] Patel A,Cheng A,Bell RB.Fibular reconstruction of the maxilla and mandible with immediate implant-supported prosthetic rehabilitation: Jaw in a Day.Oral Maxillofac Surg Clin North Am2019;31:369-86

[7] Runyan CM,Staffenberg DA.Jaw in a Day: state of the art in maxillary reconstruction.J Craniofac Surg2016;27:2101-4 PMCID:PMC5503155

[8] Sukato DC,Wang W,Williams F.Experience with “Jaw in a Day” technique.J Craniofac Surg2020;31:1212-7