Fibula Jaw in a Day: State of the Art in Maxillofacial Reconstruction.

Microvascular free tissue transfer has been one of the greatest milestones in reconstruction of the mandible and maxilla after tumor ablative surgery. Although fibula free flap reconstruction allows for immediate bony reconstruction, dental rehabilitation usually requires 6 to 12 months before it is completed. This can have a serious psychological impact on patients because they go without teeth during this timeframe. The "jaw-in-a-day" procedure was previously described by a group at New York University Medical Center. It allowed for tumor removal and full jaw reconstruction and dental rehabilitation in 1 surgery. This report describes 3 patients treated with this novel technique and adds to the 4 cases previously reported in the literature. To their knowledge, the authors are the second group to report on this technique. A series of photographs and videos are referenced in this article to illustrate the different steps used in this procedure.

The use of cephalometric landmarks with 3-dimensional volumetric computer modeling to position an auricular implant surgical template: a clinical report.

The number of tools available to make a correctly positioned surgical guide for auricular implant placement is rapidly expanding as advances in 3-dimensional computer modeling continue. While the correct orientation of a missing auricle previously relied solely on soft tissue topography, computer modeling software now allows for navigational viewing of hard tissue and cephalometric landmarks. This clinical report describes a technique to establish the orientation of an auricular surgical guide incorporating the use of fundamental cephalometry. Cephalometry as a treatment planning tool has been limited to orthodontics and maxillofacial surgery. This article describes its use in a patient with a missing ear.