title: Jaw in a Day: State of the Art in Maxillary Reconstruction.
abstract: BACKGROUND
  Reconstruction of maxillary defects following tumor extirpation is challenging because of combined aesthetic and functional roles of the maxilla. One-stage reconstruction combining osseous free flaps with immediate osseointegrated implants are becoming the standard for mandibular defects, and have similar potential for maxillary reconstruction.
  
  
  METHODS
  A woman with maxillary Ewing sarcoma successfully treated at age 9 with neoadjuvant chemotherapy, right hemimaxillectomy, and obturator prosthetic reconstruction presented for definitive reconstruction, complaining of poor obturator fit, and hypernasality. Her reconstruction was computer-simulated by a multidisciplinary team, consisting of left hemi-Lefort I advancement and right maxillary reconstruction with a free fibula flap with immediate osseointegrated implants and dental prosthesis.
  
  
  RESULTS
  Full dental restoration, midface projection, and oral fistula corrections were achieved in 1 operative stage using this approach.
  
  
  CONCLUSIONS
  This patient demonstrates a successful approach for maxillary reconstruction using computer-planned orthognathic surgery with free fibula reconstruction and immediate osseointegrated implants with dental prosthesis.
authors.affiliation: *Hansjörg Wyss Department of Plastic Surgery, New York University†Department of Prosthodontics, New York University College of Dentistry‡Department of Pediatrics, Memorial Sloan-Kettering Cancer Center§New York Head and Neck Institute, Northwell, Lenox Hill Hospital, New York, NY.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Runyan
authors.forename: Vishal
authors.initials: V
authors.lastname: Sharma
authors.forename: David A
authors.initials: DA
authors.lastname: Staffenberg
authors.forename: Jamie P
authors.initials: JP
authors.lastname: Levine
authors.forename: Lawrence E
authors.initials: LE
authors.lastname: Brecht
authors.forename: Leonard H
authors.initials: LH
authors.lastname: Wexler
authors.forename: David L
authors.initials: DL
authors.lastname: Hirsch
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D008441:Maxillary Neoplasms / Q000175:diagnosis / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods*; D012512:Sarcoma, Ewing / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed