Plastic and Reconstructive Surgery, Global Open (Jan 2020)

Role of Axial Split Osteotomy of Free Fibula Flap in Mandibular Reconstruction and Dental Rehabilitation

  • Alessandro Remigio Bolzoni, MD, PhD,
  • Alessandro Baj, MD,
  • Ahmed Hassan Sweed, MD,
  • Aldo Bruno Giannì, MD,
  • Edoardo Francesco Montrasio, MD,
  • Giada Anna Beltramini, MD

DOI
https://doi.org/10.1097/GOX.0000000000002546
Journal volume & issue
Vol. 8, no. 1
p. e2546

Abstract

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Summary:. The fibula free flap (FFF) is regarded as the gold standard in mandibular reconstruction. Dental rehabilitation is important to improve the health-related quality of life of patients undergoing mandibular reconstruction. FFF provides adequate cortical bone osseous tissue for use in dental implantation. The application of “axial split osteotomy” via a double-barrel fibula graft may enable discrepancies between the native mandible and FFF to be avoided, thereby improving the likelihood of early and successful dental rehabilitation.