title: Role of a new orthognathic surgery in maxillomandibular reconstruction by free flaps.
abstract: 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.
authors.affiliation: Cattedra di Chirurgia Maxillo-Facciale, Università di Roma Sapienza, Roma, Italia.
authors.forename: Paolo
authors.initials: P
authors.lastname: Gennaro
authors.forename: Andrea
authors.initials: A
authors.lastname: Torroni
authors.forename: Alessandra
authors.initials: A
authors.lastname: Leonardi
authors.forename: Ikenna Valentine
authors.initials: IV
authors.lastname: Aboh
authors.forename: Valerio
authors.initials: V
authors.lastname: Ramieri
authors.forename: Valentino
authors.initials: V
authors.lastname: Valentini
mesh_terms: 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