Horizontal maxillary osteotomy with interpositional fibula flap

Rachel Bluebond-Langner, Lisa R. Witkin, Eduardo D. Rodriguez

Research output: Contribution to journalArticlepeer-review


Horizontal maxillary osteotomy with an interpositional fibula flap for maxillary deficiency offers several advantages over conventional techniques for maxillary reconstruction. Maxillary deficiencies in all 3 planes, vertical, anterior-posterior, and transverse, can be corrected with a long-term stable construct while simultaneously restoring bony and soft tissue deficiencies. We conducted a retrospective review of patients with maxillary hypoplasia who underwent Horizontal maxillary osteotomy with interpositional osteoseptocutaneous fibula flaps. Compared with nonvascularized bone grafts, vascularized bone flaps undergo less resorption and can be used in poorly vascularized, mechanically unstable, irradiated, or scarred wound beds.

Original languageEnglish (US)
Pages (from-to)1260-1262
Number of pages3
JournalJournal of Craniofacial Surgery
Issue number5
StatePublished - Sep 2008
Externally publishedYes


  • Fibula flap
  • Horizontal maxillary osteotomy
  • Maxillary augmentation

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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