Micro Vascular Reconstruction of Maxilla using Free Fibula Flap

AIM: The purpose of the study was to evaluate the aesthetic and functional outcome after free fibula flap reconstruction for maxillary defects. OBJECTIVES: The long term outcome is evaluated in the following manner, 1. Fibula as a suitable reconstruction method for maxillary defects. 2. Patient satisfaction In terms of functional and aesthetic satisfaction at donor and recipient site. (annexure). 3. Wound infection and dehiscence. 4. Donor site morbidity. MATERIALS & METHODS: 3 patients were included in the study. Two patients were secondarily reconstructed due to post traumatic defect and mucormycosis, and third patient was primarily reconstructed after resection for squamous cell carcinoma. RESULTS: All the three patients had an improvement in speech and aesthetically acceptable results. One patient had wound dehiscence in the recipient site; one patient had pain in donor site for 3 weeks while walking downstairs. No difficulty in deglutition in any patients. CONCLUSION: Low donor site morbidity, acceptable aesthetic and functional outcome recommends micro vascularized free fibula flap to be considered as one of the ideal option for maxillary reconstruction. It improves the quality of life by improving the speech and swallowing