Traumatic maxillary bone loss, if not treated acutely, is accompanied by contracture of the overlying soft tissue envelope and loss of facial projection in three dimensions. Reconstruction aimed at replacing the bony architecture, expanding the soft tissue envelope and establishing a platform for dental rehabilitation can be accomplished in a staged approach. We present two patients who underwent replacement of missing maxillary segments with a free fibula flap, followed by distraction of the free fibula in three dimensions and eventual dental rehabilitation with osseo-integrated implants.
|Number of pages
|Journal of Craniofacial Surgery
|Published - Sep 1 2006
- Distraction osteogenesis
- Fibula osteoseptocutaneous flap
- Maxillary reconstruction
ASJC Scopus subject areas