The model graft: reconstruction of the maxilla using a fibular bone graft template.
The reconstruction of the partial maxillectomy decfect with a free graft depends on a team approach in a coordinated manner. However, this is not always possible due to physical limitations or, unfortunately, pragmatic factors in the era of managed care. A surgical template oftentimes is the critical measure of success in these cases, but may not be available or easily created for the previously mentioned reasons. In this article, we describe the use of redundant fibular bone as a template for reconstruction of the partial maxillectomy defect. This is a satisfactory alternative to a dental template in many cases, and, we believe, in some cases, may even be superior because it is the graft itself. As a result insetting can be hastened and precious ischemic time can be lessened-all favoring a successful, functional result.
Ostric
Srdjan A
SA
Department of Plastic & Reconstructive Surgery, Rush University, 1743 W. Harrison St., Suite 425 Chicago, IL 60612, USA. sa_ostric@sbcglobal.net
Martin
W Jason
WJ
Stock
Cameron
C
Bittar
Sami M
SM
D000714:Anastomosis, Surgical; D016025:Bone Transplantation / Q000379:methods*; D005360:Fibula / Q000601:surgery; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D010521:Periosteum / Q000601:surgery; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000379:methods*