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Background <p>Maxillary reconstruction requires indication-based strategies rather than uniform flap selection. In clinical practice, the deep circumflex iliac artery (DCIA) flap and free fibular flap (FFF) serve complementary reconstructive roles according to defect morphology and functional demands. This report describes our clinical experience and technical considerations in using these two flaps.</p> Methods <p>Thirty-eight patients undergoing maxillary reconstruction with vascularized bone flaps (FFF, <i>n</i> = 23; DCIA, <i>n</i> = 15) were treated at our institution. Flap choice was not randomized and depended on defect characteristics, buttress involvement, and prosthetic planning. Operative parameters, flap features, and postoperative recovery data are presented descriptively to illustrate clinical application.</p> Results <p>FFF were more often used in cases requiring longer bone segments and multi-segment reconstruction, whereas DCIA flaps were frequently selected when vertical bone height and alveolar contour restoration were prioritized. Operative duration, hospital stay, and recovery profiles varied according to reconstructive design and defect complexity. Reliable flap survival and functional restoration were achieved in appropriately selected cases.</p> Conclusions <p>DCIA and FFF provide complementary solutions in maxillary reconstruction. Outcomes in this series reflect indication-driven selection and technical execution rather than intrinsic superiority of one flap type. Flap choice should be based on defect configuration and reconstructive objectives.</p>

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Anatomy-driven application of fibular and iliac crest vascularized bone flaps in maxillary reconstruction: A retrospective clinical series

  • 期刊论文

  • 发表日期：

    2026年3月23日

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  • Hao Lin,
  • Bang Zeng,
  • Shuhang Deng,
  • Xuepeng Xiong,
  • Jun Jia,
  • Tianfu Wu,
  • Bing Liu,
  • Weiwei Deng

摘要

Background

Maxillary reconstruction requires indication-based strategies rather than uniform flap selection. In clinical practice, the deep circumflex iliac artery (DCIA) flap and free fibular flap (FFF) serve complementary reconstructive roles according to defect morphology and functional demands. This report describes our clinical experience and technical considerations in using these two flaps.

Methods

Thirty-eight patients undergoing maxillary reconstruction with vascularized bone flaps (FFF, n = 23; DCIA, n = 15) were treated at our institution. Flap choice was not randomized and depended on defect characteristics, buttress involvement, and prosthetic planning. Operative parameters, flap features, and postoperative recovery data are presented descriptively to illustrate clinical application.

Results

FFF were more often used in cases requiring longer bone segments and multi-segment reconstruction, whereas DCIA flaps were frequently selected when vertical bone height and alveolar contour restoration were prioritized. Operative duration, hospital stay, and recovery profiles varied according to reconstructive design and defect complexity. Reliable flap survival and functional restoration were achieved in appropriately selected cases.

Conclusions

DCIA and FFF provide complementary solutions in maxillary reconstruction. Outcomes in this series reflect indication-driven selection and technical execution rather than intrinsic superiority of one flap type. Flap choice should be based on defect configuration and reconstructive objectives.