Role of a new orthognathic surgery in maxillomandibular reconstruction by free flaps.
OBJECTIVE
The objective of this study was to describe the orthognathic surgery techniques for the treatment of occlusal anomalies in those patients who underwent complex maxillomandibular reconstruction with bony free flap.


METHODS
The authors describe their personal technique developed over years of experience with reconstruction of mandibular defects with bony free flaps.


RESULTS
The outcomes in these patients who were treated according to our surgical planning were completely satisfying, with a 100% stability of the treated bones.


CONCLUSIONS
Orthognathic procedure on bony free flaps for the reconstruction of mandibular defects is nowadays accepted. Patients who underwent major mandibular destruction due to oncologic disease or trauma outcomes can now benefit from this technique.
Gennaro
Paolo
P
Cattedra di Chirurgia Maxillo-Facciale, Università di Roma Sapienza, Roma, Italia.
Torroni
Andrea
A
Leonardi
Alessandra
A
Aboh
Ikenna Valentine
IV
Ramieri
Valerio
V
Valentini
Valentino
V
D005360:Fibula / Q000637:transplantation; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps