Mandibular reconstruction with a fibula free flap is often used for advanced oral malignancies, osteonecrosis, or benign tumors to restore function and appearance after segmental mandibulectomy. The "Jaw in a Day" (JIAD) technique enables immediate restoration of form and function with a fibula free flap, implants, and a temporary prosthesis. This case reports the unique use of the JIAD technique in a young female patient with a traumatic mandibular nonunion fracture and chronic osteomyelitis, demonstrating its efficacy in significantly enhancing her quality of life. Laryngoscope, 2025.
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http://dx.doi.org/10.1002/lary.32042 | DOI Listing |
Microsurgery
March 2025
University of Pittsburgh Medical Center, Department of Otolaryngology-Head and Neck Surgery, Pittsburgh, Pennsylvania, USA.
Introduction: Tranexamic acid (TXA) is commonly used in surgical settings to reduce blood loss. Due to its antifibrinolytic properties, TXA theoretically increases the risk of thrombosis. In this study, the use of TXA was assessed in patients undergoing head and neck free flap reconstruction.
View Article and Find Full Text PDFLaryngoscope
March 2025
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California, USA.
Background: Dental prosthetic rehabilitation (DPR) plays a critical role in restoring function and quality of life following mandibular reconstruction. This study examines the rate of patients undergoing dental implants and DPR after reconstruction of a segmental jaw defect with a fibula free flap reconstruction. We identify factors associated with successful dental implants and DPR in this patient population.
View Article and Find Full Text PDFJ Surg Case Rep
February 2025
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Patna-801507, Bihar, India.
The mandible is one of the most frequently fractured facial bone, most commonly by automobile accidents followed by fall from heights. However, segmental avulsion of mandible, that too in pediatric population is rarely reported. We report a case of 10-year-old male child sustaining facial injury following fall from a tree, resulting in complete segmental avulsion of the mandible highlighting the importance of early plastic surgery referral to optimize treatment outcomes.
View Article and Find Full Text PDFLaryngoscope
March 2025
Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, California, U.S.A.
Mandibular reconstruction with a fibula free flap is often used for advanced oral malignancies, osteonecrosis, or benign tumors to restore function and appearance after segmental mandibulectomy. The "Jaw in a Day" (JIAD) technique enables immediate restoration of form and function with a fibula free flap, implants, and a temporary prosthesis. This case reports the unique use of the JIAD technique in a young female patient with a traumatic mandibular nonunion fracture and chronic osteomyelitis, demonstrating its efficacy in significantly enhancing her quality of life.
View Article and Find Full Text PDFBackground/aim: Options for the reconstruction of bone defects following resection of primary bone sarcomas of the humerus include massive endoprostheses or biological reconstruction. We report the oncological, clinical, and functional outcomes in patients treated with biological reconstructions.
Patients And Methods: This study included 23 consecutive patients with primary bone sarcoma of humerus who underwent resection and biological reconstructions at a single institution.
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