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September 16, 2025Journal of Craniofacial Surgery

Secondary Free Flap Reconstruction of the Maxilla Following Obturator Failure

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Authors

JGJeewanjot S. GrewalMWMark K. WaxYDYadranko Ducic

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Overview

Retrospective cohort study explores outcomes of free flap reconstruction after obturator failure, indicating significant improvement in tracheostomy dependence and diet tolerance.

Key Points

  • Secondary free flap reconstruction improves tracheostomy dependence and diet tolerance in patients after obturator failure.
  • Postoperative outcomes show that 98.6% of patients achieved tracheostomy decannulation and 90.1% tolerated an oral diet.
  • The retrospective cohort study involved 71 patients who could not retain their obturators due to mechanical issues, ensuring robust insights.
  • Only 11.3% faced postoperative complications, highlighting the favorable safety profile of secondary free flap reconstruction.

Cite This Study

Grewal et al. (2025) studied this question.

synapsesocial.com/papers/68d44f8c31b076d99fa573bfhttps://doi.org/10.1097/scs.0000000000011956
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Free flap failure in head and neck reconstruction2013 · 129 citations
  2. 2Outcomes of Free Flap Bony Reconstruction for Maxillary Defects: A Systematic Review and Meta‐Analysis2025 · 3 citations
  3. 3Complications of Free Flap Reconstruction in Maxillary and Mandibular Defects: A Systematic Review and Meta-Analysis2026 · 1 citations
  4. 4Maxillary Reconstruction with Free Vascularized Fibula: 15-Year Experience2024 · 9 citations
  5. 5Maxillofacial Re‐Reconstruction of Bony Free Flaps Affected by Osteoradionecrosis: 10‐Year Single‐Institution Experience2026