Rebuilding a jaw in a day
Source: www.eurekalert.org Author: Cedars-Sinai Medical Center Patients who lose a part of their jaw — whether from injury, infection, disease, or as a side effect of cancer treatment—can have the missing jawbone replaced through reconstruction. But most are left with a life-altering dilemma: Their new jaw is missing its teeth. That isn’t the case, however, for those treated by Cedars-Sinai’s “jaw-in-a-day” team. The team—a partnership between Cedars-Sinai and the Los Angeles Center for Oral & Maxillofacial Surgery—is one of just a handful across the country performing a relatively new procedure where patients receive a jaw replacement complete with dental implants in one surgery. “People who have a traditional jaw reconstruction get a new jawbone, but it isn’t very functional,” said oral/maxillofacial surgeon Steven Kupferman, DMD, MD. “The jaw is meant to talk and chew, and without teeth, it can’t do those things as well.” A Tricky Reconstruction In the traditional jaw-replacement procedure—called fibula free flap surgery—the surgeon replaces the damaged jawbone with a section of bone cut from the fibula, the outer bone in the lower leg, which can be removed without compromising the patient’s ability to walk. It is possible for patients to have dental implants added to the jaw in a separate procedure, but head and neck surgeon Jon Mallen-St. Clair, MD, PhD, who has performed many fibula free flap procedures, said that rarely happens. “The patient may be worn out from going through that major reconstruction operation,” Mallen-St. Clair said. “And the oral surgeon could be worried [...]