Strategic optimization of osseous reconstruction for post-oncologic resection maxillofacial defects: a clinical outcomes analysis.

OBJECTIVE

This study aimed to evaluate reconstruction strategies and clinical outcomes for post-oncologic resection maxillofacial bone defects, with a focus on comparing the advantages and limitations of different flap techniques to provide evidence for individualized surgical decision-making.

METHODS

A retrospective analysis was performed on 54 patients with maxillofacial bone defects following tumor resection at our institution between January 2020 and January 2023. Reconstructive techniques included vascularized bone flaps (fibular and iliac crest flaps) and soft-tissue flaps combined with titanium plates (anterolateral thigh flap). Outcomes were evaluated in terms of flap survival, complication rates, and multidimensional assessments of aesthetics, function, and patient-reported satisfaction.

RESULTS

Of the 54 reconstructed cases, vascularized bone flaps achieved significantly better outcomes across all assessment domains compared with soft-tissue flaps combined with titanium plates.

CONCLUSION

Individualized selection of vascularized bone flaps, particularly fibula or iliac crest flaps, represents the most effective approach for maxillofacial reconstruction. These techniques not only restore mandibular morphology and functional integrity but also significantly improve postoperative quality of life.