title: Intraoral Microvascular Anastomosis of an Iliac Free Flap for Maxillary Fibrous Dysplasia.
abstract: Microvascular reconstruction offers patients with facial deformities excellent composite tissue restoration and improves functional outcomes. However, such techniques require facial skin incisions, leaving the patient with unsightly scarring. Implementing an intraoral microvascular anastomosis can obviate the need for facial skin incisions, yielding aesthetically favorable results. We present the case of a 29-year-old, cosmetically conscientious woman who underwent a free iliac osteomuscular flap with intraoral microvascular anastomosis for reconstruction of a right maxillary defect secondary to fibrous dysplasia. Endosseous dental implants were successfully placed using computer-aided design and manufacturing to effectively restore the dentition. Intraoral microvascular reconstruction provided the patient with an aesthetically pleasing result, effectively achieving functional restoration with patient satisfaction.
authors.affiliation: Postdoctoral Research Fellow, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD; Postdoctoral Research Fellow, Department of Plastic Surgery, New York University Langone Medical Center, New York, NY.
authors.forename: Michael
authors.initials: M
authors.lastname: Sosin
authors.affiliation: Private Practice Attending Physician, Maryland Prosthodontic Associates, Greater Baltimore Medical Center, Baltimore, MD.
authors.forename: Ghassan G
authors.initials: GG
authors.lastname: Sinada
authors.affiliation: Helen L. Kimmel Professor of Reconstructive Plastic Surgery, Director, Institute of Reconstructive Plastic Surgery, and Chair, Department of Plastic Surgery, New York University Langone Medical Center, New York, NY.
authors.forename: Eduardo D
authors.initials: ED
authors.lastname: Rodriguez
authors.affiliation: Associate Professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD. Electronic address: adorafs1@jhmi.edu.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Dorafshar
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007085:Ilium / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000601:surgery*