The Biaxial Double Barrel Fibula Flap – A Simplified Technique for Fibula Maxillary Reconstruction

Previously described techniques for microvascular fibula reconstruction of Brown Class II-IV maxillectomy defects are complex, require multiple osteotomies, result in a short pedicle length, and inadequately reconstruct the dental alveolus in preparation for endosseous implants [1-4].We describe a simplified technique for Brown class II-IV defects that recreates facial support, allows for dental reconstruction with appropriately positioned implants, and maintains adequate pedicle length.

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