Prefabricated Free Fibula Flap for Reconstruction of a Maxillary Defect: A Case Report

The present article describes a case of prosthetic rehabilitation with the new technique of prefabricated osteo-cutaneous free fibula flap for reconstructing a maxillary defect which had resulted from ameloblastoma. The fibula and a cuff of 6-8 mm were prepared with its pedicle intact. The bone flap was left in place with its pedicle intact for 2 to 3 months; the skin graft and the flap were free of inflammation. The fibula flap was then transferred to the maxilla. Implant placement was performed 4 to 6 months after transfer of the flap to the oral cavity. Three titanium implants, with a width of 4 mm and a length of 13 mm, were placed using a conventional two-stage protocol. A cement-retained 5-unit metal-ceramic fixed partial denture was fabricated.