Interdisciplinary approach to prosthetic rehabilitation of a bilateral maxillectomy with a free fibula flap and zygomatic implants in a childhood cancer survivor: A clinical report

Abstract

Rehabilitation of a bilateral maxillectomy defect is highly challenging. Reconstruction with a free-fibula flap provides optimal coverage and allows prosthetic rehabilitation with dental implant-retained prostheses. Deficient height of the fibula bone, especially in the pediatric population or in young adults, may complicate the rehabilitation process. This report describes an interdisciplinary approach to the rehabilitation of a bilateral maxillectomy defect in a childhood cancer survivor using an innovative modification of an existing protocol. Patient acceptance and the quality-of-life outcome were high after secondary placement of bilateral zygomatic and conventional implants in the fibula flap, providing excellent anchorage for a bar-LOCATOR overdenture prosthesis.