{"id":8328,"date":"2025-07-27T11:36:26","date_gmt":"2025-07-27T08:06:26","guid":{"rendered":"https:\/\/farinroshaan.com\/%d8%ac%d8%b1%d8%a7%d8%ad%db%8c-%d8%a8%d8%a7%d8%b2%d8%b3%d8%a7%d8%b2%db%8c-%d9%81%da%a9-%d8%a8%d8%a7-%d9%81%d9%84%d9%be-%d9%81%db%8c%d8%a8%d9%88%d9%84%d8%a7%d8%9b-%d8%b1%d8%a7%d9%87-%d9%86%d8%ac%d8%a7\/"},"modified":"2025-08-10T10:13:11","modified_gmt":"2025-08-10T06:43:11","slug":"%d8%ac%d8%b1%d8%a7%d8%ad%db%8c-%d8%a8%d8%a7%d8%b2%d8%b3%d8%a7%d8%b2%db%8c-%d9%81%da%a9-%d8%a8%d8%a7-%d9%81%d9%84%d9%be-%d9%81%db%8c%d8%a8%d9%88%d9%84%d8%a7%d8%9b-%d8%b1%d8%a7%d9%87-%d9%86%d8%ac%d8%a7","status":"publish","type":"post","link":"https:\/\/farinroshaan.com\/en\/%d8%ac%d8%b1%d8%a7%d8%ad%db%8c-%d8%a8%d8%a7%d8%b2%d8%b3%d8%a7%d8%b2%db%8c-%d9%81%da%a9-%d8%a8%d8%a7-%d9%81%d9%84%d9%be-%d9%81%db%8c%d8%a8%d9%88%d9%84%d8%a7%d8%9b-%d8%b1%d8%a7%d9%87-%d9%86%d8%ac%d8%a7\/","title":{"rendered":"Jaw Reconstruction with Fibula Flap: The Lifeline When the Jaw No Longer Exists"},"content":{"rendered":"<p dir=\"ltr\" data-start=\"96\" data-end=\"556\"><strong data-start=\"96\" data-end=\"153\">When the jaw no longer exists or is severely damaged,<\/strong> treatment options include bone grafting, custom implants, and advanced reconstructive techniques.<br data-start=\"251\" data-end=\"254\" \/>The choice of the best method depends on the patient\u2019s overall health condition and is determined through examination and specialist consultation.<br data-start=\"400\" data-end=\"403\" \/>Each technique has its own advantages, limitations, and recovery period, and understanding these factors can help in making better treatment decisions.<\/p>\n<hr dir=\"ltr\" data-start=\"558\" data-end=\"561\" \/>\n<p dir=\"ltr\" data-start=\"563\" data-end=\"654\"><strong data-start=\"563\" data-end=\"610\">When the Jaw is Gone, What is the Solution?<\/strong><br data-start=\"610\" data-end=\"613\" \/><strong data-start=\"613\" data-end=\"652\">Jaw Reconstruction with Fibula Flap<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"656\" data-end=\"849\">The answer lies in <strong data-start=\"675\" data-end=\"715\">microvascular reconstructive surgery<\/strong> \u2014 and among all the available techniques, the <strong data-start=\"762\" data-end=\"777\">fibula flap<\/strong> is rightfully regarded as the <em data-start=\"808\" data-end=\"823\">gold standard<\/em> for jaw reconstruction.<\/p>\n<hr dir=\"ltr\" data-start=\"851\" data-end=\"854\" \/>\n<p dir=\"ltr\" data-start=\"856\" data-end=\"906\"><strong data-start=\"856\" data-end=\"904\">Fibula Flap: Reconstruction with Living Bone<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"908\" data-end=\"1202\">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.<br data-start=\"1063\" data-end=\"1066\" \/>Under a surgical microscope, these vessels are connected to the patient\u2019s neck vessels \u2014 a process called <em data-start=\"1172\" data-end=\"1199\">microvascular anastomosis<\/em>.<\/p>\n<p dir=\"ltr\" data-start=\"1204\" data-end=\"1381\">This bone has excellent shaping capability, a suitable length (up to about 25 cm), and can effectively replace the missing jawbone.<br data-start=\"1335\" data-end=\"1338\" \/>Dental implants can even be placed on it.<\/p>\n<hr dir=\"ltr\" data-start=\"1383\" data-end=\"1386\" \/>\n<p dir=\"ltr\" data-start=\"1388\" data-end=\"1422\"><strong data-start=\"1388\" data-end=\"1420\">But Is This the Only Option?<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"1424\" data-end=\"1627\">Until a few years ago, the answer was yes.<br data-start=\"1466\" data-end=\"1469\" \/>However, with the advancement of <strong data-start=\"1502\" data-end=\"1516\">3D imaging<\/strong>, <strong data-start=\"1518\" data-end=\"1533\">bioprinting<\/strong>, and <strong data-start=\"1539\" data-end=\"1571\">precision engineering design<\/strong>, a new approach emerged:<br data-start=\"1596\" data-end=\"1599\" \/><strong data-start=\"1599\" data-end=\"1625\"><a href=\"https:\/\/farinroshaan.com\/en\/jaw-and-face\/patient-specific-implants\/\">Personalized implants<\/a>.<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"1629\" data-end=\"1846\">These implants are designed precisely according to the patient\u2019s anatomy \u2014 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.<\/p>\n<p dir=\"ltr\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-8306 size-full\" src=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0627\u06cc\u0645\u067e\u0644\u0646\u062a-\u0634\u062e\u0635\u06cc-\u0633\u0627\u0632\u06cc.jpg\" alt=\"\u0627\u06cc\u0645\u067e\u0644\u0646\u062a \u0647\u0627\u06cc \u0634\u062e\u0635\u06cc \u0633\u0627\u0632\u06cc \u0634\u062f\u0647\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0627\u06cc\u0645\u067e\u0644\u0646\u062a-\u0634\u062e\u0635\u06cc-\u0633\u0627\u0632\u06cc.jpg 1920w, https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0627\u06cc\u0645\u067e\u0644\u0646\u062a-\u0634\u062e\u0635\u06cc-\u0633\u0627\u0632\u06cc-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><br \/>\n<strong>\u2733 <\/strong>But the reality is:<br data-start=\"72\" data-end=\"75\" \/>Every patient has unique circumstances. In some cases, the fibula flap still remains the only viable option \u2014 especially for patients who require the transfer of living tissue and a new blood supply.<\/p>\n<hr dir=\"ltr\" data-start=\"278\" data-end=\"281\" \/>\n<p dir=\"ltr\" data-start=\"283\" data-end=\"352\"><strong data-start=\"283\" data-end=\"350\">The Role of Personalized Implants in Fibula Flap Reconstruction<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"354\" data-end=\"632\">This is where the combination of surgical science and biomedical engineering works wonders.<br data-start=\"445\" data-end=\"448\" \/><a href=\"http:\/\/farinroshaan.com\"><strong data-start=\"448\" data-end=\"468\">Farin Roshan Teb<\/strong><\/a>, by designing and producing custom titanium plates and surgical cutting guides, has elevated these complex surgeries to a new level of precision and reliability.<\/p>\n<p dir=\"ltr\" data-start=\"634\" data-end=\"644\"><strong data-start=\"634\" data-end=\"642\">How?<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"646\" data-end=\"809\">Surgical <a href=\"https:\/\/farinroshaan.com\/en\/jaw-and-face\/cutting-guide\/\">cutting guides<\/a> determine the exact site for harvesting the bone from the leg, with the precise angles required for a perfect fit with the patient\u2019s jaw.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-8298 size-full\" src=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/Cutting-Guide-copy.jpg\" alt=\"\u06af\u0627\u06cc\u062f\u0647\u0627\u06cc \u0628\u0631\u0634\u06cc \u0641\u0631\u06cc\u0646 \u0631\u0648\u0634\u0627\u0646 \u0637\u0628\" width=\"1920\" height=\"1080\" srcset=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/Cutting-Guide-copy.jpg 1920w, https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/Cutting-Guide-copy-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<p dir=\"ltr\" data-start=\"53\" data-end=\"366\"><a href=\"https:\/\/farinroshaan.com\/en\/jaw-and-face\/patient-specific-plates\/\">Custom-designed plates<\/a> are created to restore the natural curvature of the jaw arch and ensure precise fixation of the flap in its final position.<br data-start=\"199\" data-end=\"202\" \/>These devices are developed using <strong data-start=\"236\" data-end=\"264\">preoperative 3D modeling<\/strong> (<em data-start=\"266\" data-end=\"293\">Virtual Surgical Planning<\/em>) to achieve a perfect adaptation of the fibula flap to the jaw defect.<\/p>\n<p dir=\"ltr\" data-start=\"368\" data-end=\"506\">In fact, these personalized tools reduce human error and minimize surgical time \u2014 a critical advantage in long microvascular operations.<\/p>\n<hr dir=\"ltr\" data-start=\"508\" data-end=\"511\" \/>\n<p dir=\"ltr\" data-start=\"513\" data-end=\"598\"><strong data-start=\"513\" data-end=\"596\">Jaw Reconstruction with Fibula Flap: The Lifeline When the Jaw No Longer Exists<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"600\" data-end=\"669\">The fibula flap is particularly recommended in the following cases:<\/p>\n<ul dir=\"ltr\" data-start=\"671\" data-end=\"958\">\n<li data-start=\"671\" data-end=\"738\">\n<p data-start=\"673\" data-end=\"738\">Resection of malignant jaw tumors (such as SCC or osteosarcoma)<\/p>\n<\/li>\n<li data-start=\"739\" data-end=\"795\">\n<p data-start=\"741\" data-end=\"795\">Severe trauma or complete comminution of the jawbone<\/p>\n<\/li>\n<li data-start=\"796\" data-end=\"841\">\n<p data-start=\"798\" data-end=\"841\">Chronic bone infections (<em data-start=\"823\" data-end=\"838\">osteomyelitis<\/em>)<\/p>\n<\/li>\n<li data-start=\"842\" data-end=\"890\">\n<p data-start=\"844\" data-end=\"890\">Failure of previous reconstructive surgeries<\/p>\n<\/li>\n<li data-start=\"891\" data-end=\"958\">\n<p data-start=\"893\" data-end=\"958\">The need for full functional restoration for speech and chewing<\/p>\n<\/li>\n<\/ul>\n<hr dir=\"ltr\" data-start=\"960\" data-end=\"963\" \/>\n<p dir=\"ltr\" data-start=\"965\" data-end=\"1000\"><strong data-start=\"965\" data-end=\"998\">What Is the Surgical Pathway?<\/strong><\/p>\n<ol dir=\"ltr\" data-start=\"1002\" data-end=\"1335\">\n<li data-start=\"1002\" data-end=\"1062\">\n<p data-start=\"1005\" data-end=\"1062\">Harvesting the fibula bone along with its blood vessels<\/p>\n<\/li>\n<li data-start=\"1063\" data-end=\"1159\">\n<p data-start=\"1066\" data-end=\"1159\">Shaping the bone according to the patient\u2019s jaw anatomy (guided by surgical cutting guides)<\/p>\n<\/li>\n<li data-start=\"1160\" data-end=\"1214\">\n<p data-start=\"1163\" data-end=\"1214\">Microsurgical vascular connection to neck vessels<\/p>\n<\/li>\n<li data-start=\"1215\" data-end=\"1269\">\n<p data-start=\"1218\" data-end=\"1269\">Fixation of the bone using custom titanium plates<\/p>\n<\/li>\n<li data-start=\"1270\" data-end=\"1335\">\n<p data-start=\"1273\" data-end=\"1335\">Postoperative treatments, including dental implant placement<\/p>\n<\/li>\n<\/ol>\n<div style=\"width: 800px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-8328-1\" width=\"800\" height=\"450\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0641\u0644\u067e-\u0641\u06cc\u0628\u0648\u0644\u0627.mp4?_=1\" \/><a href=\"https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0641\u0644\u067e-\u0641\u06cc\u0628\u0648\u0644\u0627.mp4\">https:\/\/farinroshaan.com\/wp-content\/uploads\/2025\/07\/\u0641\u0644\u067e-\u0641\u06cc\u0628\u0648\u0644\u0627.mp4<\/a><\/video><\/div>\n<p dir=\"ltr\" data-start=\"53\" data-end=\"95\"><strong data-start=\"53\" data-end=\"93\">Possible Complications and Solutions<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"97\" data-end=\"199\">Like any surgical procedure, this technique may be associated with certain complications, including:<\/p>\n<ul dir=\"ltr\" data-start=\"201\" data-end=\"336\">\n<li data-start=\"201\" data-end=\"233\">\n<p data-start=\"203\" data-end=\"233\">Flap necrosis (less than 5%)<\/p>\n<\/li>\n<li data-start=\"234\" data-end=\"270\">\n<p data-start=\"236\" data-end=\"270\">Pain or numbness in the leg area<\/p>\n<\/li>\n<li data-start=\"271\" data-end=\"336\">\n<p data-start=\"273\" data-end=\"336\">Infection or mismatch between the bone and the recipient site<\/p>\n<\/li>\n<\/ul>\n<p dir=\"ltr\" data-start=\"338\" data-end=\"502\">The role of <strong data-start=\"350\" data-end=\"386\">custom-engineered surgical tools<\/strong> in reducing these complications is crucial, as they help the surgeon execute the precisely pre-planned procedure.<\/p>\n<hr dir=\"ltr\" data-start=\"504\" data-end=\"507\" \/>\n<p dir=\"ltr\" data-start=\"509\" data-end=\"548\"><strong data-start=\"509\" data-end=\"546\">The Final Outcome: Restoring Life<\/strong><\/p>\n<p dir=\"ltr\" data-start=\"550\" data-end=\"868\">Jaw reconstruction with a fibula flap, combined with <strong data-start=\"603\" data-end=\"620\">custom plates<\/strong> and <strong data-start=\"625\" data-end=\"652\">surgical cutting guides<\/strong> produced by <em data-start=\"665\" data-end=\"683\">Farin Roshan Teb<\/em>, represents a unique fusion of biotechnology and modern surgery.<br data-start=\"748\" data-end=\"751\" \/>The result? The return of the ability to eat, speak, breathe \u2014 and most importantly, the return of self-confidence.<\/p>\n<hr \/>\n<p dir=\"ltr\">aw reconstruction surgery using the fibula flap is performed in Tehran by the specialized team of <strong data-start=\"139\" data-end=\"159\">Farin Roshan Teb<\/strong> under the supervision of <strong data-start=\"185\" data-end=\"207\">Dr. Alireza Parhiz<\/strong>.<\/p>\n<p dir=\"ltr\">\ud83d\udce7 farinroshaan@gmail.com<br \/>\n\ud83d\udcde 021-26421231<br \/>\n\ud83c\udf0d <a href=\"http:\/\/farinroshan.com\" target=\"_blank\" rel=\"noopener\">farinroshan.com<\/a><\/p>\n<hr \/>\n<p dir=\"ltr\">\n","protected":false},"excerpt":{"rendered":"<p>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\u2019s 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 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8317,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[149],"tags":[],"class_list":["post-8328","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"_links":{"self":[{"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/posts\/8328","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/comments?post=8328"}],"version-history":[{"count":0,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/posts\/8328\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/media\/8317"}],"wp:attachment":[{"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/media?parent=8328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/categories?post=8328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/farinroshaan.com\/en\/wp-json\/wp\/v2\/tags?post=8328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}