When the jaw no longer exists or is severely damaged, treatment options include bone grafting, custom implants, and advanced reconstructive techniques.
The choice of the best method depends on the patient’s overall health condition and is determined through examination and specialist consultation.
Each technique has its own advantages, limitations, and recovery period, and understanding these factors can help in making better treatment decisions.
When the Jaw is Gone, What is the Solution?
Jaw Reconstruction with Fibula Flap
The answer lies in microvascular reconstructive surgery — and among all the available techniques, the fibula flap is rightfully regarded as the gold standard for jaw reconstruction.
Fibula Flap: Reconstruction with Living Bone
In this procedure, a segment of the fibula bone (from the lower leg), along with its blood vessels, is carefully harvested and transferred to the jaw area.
Under a surgical microscope, these vessels are connected to the patient’s neck vessels — a process called microvascular anastomosis.
This bone has excellent shaping capability, a suitable length (up to about 25 cm), and can effectively replace the missing jawbone.
Dental implants can even be placed on it.
But Is This the Only Option?
Until a few years ago, the answer was yes.
However, with the advancement of 3D imaging, bioprinting, and precision engineering design, a new approach emerged:
Personalized implants.
These implants are designed precisely according to the patient’s anatomy — without the need to harvest bone from other parts of the body, without a second surgery on the leg, and without an extended recovery period.
✳ But the reality is:
Every patient has unique circumstances. In some cases, the fibula flap still remains the only viable option — especially for patients who require the transfer of living tissue and a new blood supply.
The Role of Personalized Implants in Fibula Flap Reconstruction
This is where the combination of surgical science and biomedical engineering works wonders.
Farin Roshan Teb, by designing and producing custom titanium plates and surgical cutting guides, has elevated these complex surgeries to a new level of precision and reliability.
How?
Surgical cutting guides determine the exact site for harvesting the bone from the leg, with the precise angles required for a perfect fit with the patient’s jaw.
Custom-designed plates are created to restore the natural curvature of the jaw arch and ensure precise fixation of the flap in its final position.
These devices are developed using preoperative 3D modeling (Virtual Surgical Planning) to achieve a perfect adaptation of the fibula flap to the jaw defect.
In fact, these personalized tools reduce human error and minimize surgical time — a critical advantage in long microvascular operations.
Jaw Reconstruction with Fibula Flap: The Lifeline When the Jaw No Longer Exists
The fibula flap is particularly recommended in the following cases:
Resection of malignant jaw tumors (such as SCC or osteosarcoma)
Severe trauma or complete comminution of the jawbone
Chronic bone infections (osteomyelitis)
Failure of previous reconstructive surgeries
The need for full functional restoration for speech and chewing
What Is the Surgical Pathway?
Harvesting the fibula bone along with its blood vessels
Shaping the bone according to the patient’s jaw anatomy (guided by surgical cutting guides)
Microsurgical vascular connection to neck vessels
Fixation of the bone using custom titanium plates
Postoperative treatments, including dental implant placement
Possible Complications and Solutions
Like any surgical procedure, this technique may be associated with certain complications, including:
Flap necrosis (less than 5%)
Pain or numbness in the leg area
Infection or mismatch between the bone and the recipient site
The role of custom-engineered surgical tools in reducing these complications is crucial, as they help the surgeon execute the precisely pre-planned procedure.
The Final Outcome: Restoring Life
Jaw reconstruction with a fibula flap, combined with custom plates and surgical cutting guides produced by Farin Roshan Teb, represents a unique fusion of biotechnology and modern surgery.
The result? The return of the ability to eat, speak, breathe — and most importantly, the return of self-confidence.
aw reconstruction surgery using the fibula flap is performed in Tehran by the specialized team of Farin Roshan Teb under the supervision of Dr. Alireza Parhiz.
📧 farinroshaan@gmail.com
📞 021-26421231
🌍 farinroshan.com
