Maxillary reconstruction by fibular flap was reported in 1994. Now, it is known as one common method for skeletal reconstruction in the maxilla. Maxillary reconstruction by fibular flap contributes to improvement of facial contour, closing the palate, and stabilizing the denture. Many patients are satisfied with this operation. Procedures of maxillary reconstruction by fibular flap are similar to mandibular reconstruction, but differ in some points. We introduce some tips and pitfalls of maxillary reconstruction using a fibular flap.
1. Preoperative planning is crucial.
2. 3D Models are useful for preoperative planning.
3. Fixing the bone pieces should be completed before setting the bone graft to the defect.
4. To prevent unfavorable strain and pressure to the anastomosed vessels, the positioning of the flap and the vessels must be considered carefully.
21 years ago, we performed the first ever case of maxillary reconstruction by fibular flap with implant denture and the patient is still alive and healthy.
