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July 31, 2025The Laryngoscope

Outcomes of Free Flap Bony Reconstruction for Maxillary Defects: A Systematic Review and Meta‐Analysis

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Authors

ACAndrea CostantinoHumanitas UniversityJHJack HylerKansas City UniversityUAUthman AlamoudiAdventHealth Orlando

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Implication

Systematic review reveals 93% flap success and 91% speech intelligibility in patients with maxillary defects, indicating the effectiveness of this method.

Key Points

  • MAIN FINDING: Free flap bony reconstruction for maxillary defects achieved a 93.0% flap success rate, indicating its reliability.
  • KEY EVIDENCE: The pooled data showed a fistula rate of 15.9% and a speech intelligibility rate of 91.2%, demonstrating positive outcomes.
  • APPROACH: A meta-analysis included 837 patients and utilized the inverse variance method to calculate pooled effect sizes.
  • SIGNIFICANCE: Results highlight the need for improved dental implant rates, a critical area for future focus in maxillary reconstruction.

Cite This Study

Costantino et al. (2025) studied this question.

synapsesocial.com/papers/689a094be6551bb0af8cf30bhttps://doi.org/10.1002/lary.32480
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