Making the case for virtual surgical planning: Bilateral sequential fibula flaps with immediate dental implants for maxillectomy Journal Article


Authors: Taylor, E. M.; Vorstenbosch, J.; Morrison, E.; Janssen, P. L.; Kronstadt, K. L.; Randazzo, J.; Rosen, E. B.; Cordeiro, P. G.; Shahzad, F.; Ganly, I.; Matros, E.
Article Title: Making the case for virtual surgical planning: Bilateral sequential fibula flaps with immediate dental implants for maxillectomy
Abstract: Oncologic maxillectomy defects requiring bony reconstruction are among the most challenging head and neck cases because of the complex three-dimensional geometry of the midface. Virtual surgical planning technology is advantageous in these cases because it provides superior positional precision and accuracy compared with traditional techniques and facilitates prosthodontic rehabilitation. Maxillary cancer recurrence after an initial fibula flap reconstruction presents a unique challenge. The authors report the first two cases of sequential fibula flaps after second or recurrent cancer of the maxilla. Virtual surgical planning facilitated resection with adequate tumor margins, optimized anatomic positioning of the fibula construct with three-dimensional printed plates, and enabled immediate functional dental implant placement. © 2023 Lippincott Williams and Wilkins. All rights reserved.
Keywords: neoplasm recurrence, local; tumor recurrence; surgery; free tissue graft; maxilla; fibula; free tissue flaps; dental implants; humans; human
Journal Title: Plastic and Reconstructive Surgery
Volume: 152
Issue: 4
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2023-10-01
Start Page: 707e
End Page: 711e
Language: English
DOI: 10.1097/prs.0000000000010289
PUBMED: 36780347
PROVIDER: scopus
PMCID: PMC11305406
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Evan Matros -- Source: Scopus
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MSK Authors
  1. Peter G Cordeiro
    282 Cordeiro
  2. Evan Matros
    202 Matros
  3. Ian Ganly
    430 Ganly
  4. Farooq Shahzad
    37 Shahzad