RECONSTRUCTION OF A COMPLEX MIDFACIAL DEFECT WITH THE FOLDED FIBULAR FREE-FLAP AND OSSEOINTEGRATED IMPLANTS

Refinements in microsurgical techniques, plate fixation, and osseointe gration have changed the conceptual approach to midface reconstruction , Free tissue transfer has emerged as the ideal method of reconstructi ng complex midfacial defects, Single-stage bony restoration of the pal ate and orbital rim using the folded fibular osteocutaneous free flap is described. The fibular free flap is our first choice for reconstruc ting complex midfacial defects. The thin, soft, pliable tissue is idea l for intraoral and palatal reconstructions. The bone can be tailored precisely to fit any desired shape, and forms a sturdy support for bot h orbital and dental prostheses, With a single flap, rapid and reliabl e restoration of midfacial appearance, orbital support, and palatal fu nction can be achieved.