Skip to main content

Principles of Fibula Jaw in a Day Reconstruction: A Step-by-Step Approach

  • Chapter
  • First Online:
Regenerative Strategies for Maxillary and Mandibular Reconstruction

Abstract

Since it was first described in 2013, the Fibula Jaw in a Day procedure has become more and more common in microvascular units across the country. This is an invaluable technique that has revolutionized the way we think about maxillofacial reconstruction. It allows for mandibular or maxillary reconstruction in post-ablative defects with immediate dental rehabilitation, a process that traditionally takes 12 months to complete. The aim of this chapter is to provide a review of published reports at the time of this writing and to provide the reader with clinical pearls and a step-by-step approach to the Fibula Jaw in a Day procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Hanasono MM, Chang DW. Discussion: jaw in a day: total maxillofacial reconstruction using digital technology. Plast Reconstr Surg. 2013;131(6):1392–3.

    Article  CAS  Google Scholar 

  2. Qaisi M, Kolodney H, Swedenburg G, Chandran R, Caloss R. Fibula jaw in a day: state of the art in maxillofacial reconstruction. J Oral Maxillofac Surg. 2016;74(6):1284.e1–1284.e15.

    Article  Google Scholar 

  3. Levine JP, Bae JS, Soares M, et al. Jaw in a day: total maxillofacial reconstruction using digital technology. Plast Reconstr Surg. 2013;131(6):1386–91.

    Article  CAS  Google Scholar 

  4. Rahimov CR, Farzaliyev IM, Fathi HR, Davudov MM, Aliyev A, Hasanov E. The application of virtual planning and navigation devices for mandible reconstruction and immediate dental implantation. Craniomaxillofac Trauma Reconstr. 2016;9(2):125–33.

    PubMed  Google Scholar 

  5. Runyan CM, Sharma V, Staffenberg DA, et al. Jaw in a day: state of the art in maxillary reconstruction. J Craniofac Surg. 2016;27(8):2101–4.

    Article  Google Scholar 

  6. Yetzer JG, Ettinger KS, Arce K, Salinas TJ. Whole-arch single-stage free flap reconstruction and rehabilitation of the mandible: a case report and technical considerations on a new technique. J Oral Maxillofac Surg. 2017;75(2):290–6.

    Article  Google Scholar 

  7. Salman SO, Fernandes RP, Rawal SR. Immediate reconstruction and dental rehabilitation of segmental mandibular defects: description of a novel technique. J Oral Maxillofac Surg. 2017;75(10):2270.e1–8.

    Article  Google Scholar 

  8. Butura CC, Galindo DF, Jensen OT. Mandibular all-on-four therapy using angled implants: a three-year clinical study of 857 implants in 219 jaws. Oral Maxillofac Surg Clin North Am. 2011;23(2):289–300. vi.

    Article  Google Scholar 

  9. Balshi SF, Wolfinger GJ, Balshi TJ. A prospective study of immediate functional loading, following the Teeth in a Day protocol: a case series of 55 consecutive edentulous maxillas. Clin Implant Dent Relat Res. 2005;7(1):24–31.

    Article  Google Scholar 

  10. Malo P, Nobre Mde A, Lopes A. Immediate rehabilitation of completely edentulous arches with a four-implant prosthesis concept in difficult conditions: an open cohort study with a mean follow-up of 2 years. Int J Oral Maxillofac Implants. 2012;27(5):1177–90.

    PubMed  Google Scholar 

  11. Maló P, de Araújo Nobre M, Lopes A, Francischone C, Rigolizzo M. “All-on-4” immediate-function concept for completely edentulous maxillae: a clinical report on the medium (3 years) and long-term (5 years) outcomes. Clin Implant Dent Relat Res. 2012;14(Suppl. 1):e139–50.

    Article  Google Scholar 

  12. Chiapasco M, Gatti C. Immediate loading of dental implants placed in revascularized fibula free flaps: a clinical report on 2 consecutive patients. Int J Oral Maxillofac Implants. 2004;19(6):906–12.

    PubMed  Google Scholar 

  13. Okay DJ, Buchbinder D, Urken M, Jacobson A, Lazarus C, Persky M. Computer-assisted implant rehabilitation of maxillomandibular defects reconstructed with vascularized bone free flaps. JAMA Otolaryngol Head Neck Surg. 2013;139(4):371–81.

    Article  Google Scholar 

  14. Rohner D, Bucher P, Hammer B. Prefabricated fibular flaps for reconstruction of defects of the maxillofacial skeleton: planning, technique, and long-term experience. Int J Oral Maxillofac Implants. 2013;28(5):e221–9.

    Article  Google Scholar 

  15. Freudlsperger C, Bodem JP, Engel E, Hoffmann J. Mandibular reconstruction with a prefabricated free vascularized fibula and implant-supported prosthesis based on fully three-dimensional virtual planning. J Craniofac Surg. 2014;25(3):980–2.

    Article  Google Scholar 

  16. Urken ML, Buchbinder D, Weinberg H, Vickery C, Sheiner A, Biller HF. Primary placement of osseointegrated implants in microvascular mandibular reconstruction. Otolaryngol Head Neck Surg. 1989;101(1):56–73.

    Article  CAS  Google Scholar 

  17. Chang YM, Santamaria E, Wei FC, et al. Primary insertion of osseointegrated dental implants into fibula osteoseptocutaneous free flap for mandible reconstruction. Plast Reconstr Surg. 1998;102(3):680–8.

    Article  CAS  Google Scholar 

  18. Chana JS, Chang YM, Wei FC, et al. Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: an ideal treatment method for mandibular ameloblastoma. Plast Reconstr Surg. 2004;113(1):80–7.

    Article  Google Scholar 

  19. Shen YF, Rodriguez ED, Wei FC, Tsai CY, Chang YM. Aesthetic and functional mandibular reconstruction with immediate dental implants in a free fibular flap and a low-profile reconstruction plate: five-year follow-up. Ann Plast Surg. 2015;74(4):442–6.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammed Qaisi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Qaisi, M., Murphy, J., Fung, H. (2019). Principles of Fibula Jaw in a Day Reconstruction: A Step-by-Step Approach. In: Melville, J., Shum, J., Young, S., Wong, M. (eds) Regenerative Strategies for Maxillary and Mandibular Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-93668-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-93668-0_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93667-3

  • Online ISBN: 978-3-319-93668-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics