Abstract
Sequencing reconstructive strategies for patients with ablative tumor defects and high-energy craniomaxillofacial injuries can be a monumental challenge. These wounds present extensive tissue loss and therefore require composite tissue replacement. Free tissue transfer offers a unique consortium of vascularized tissues in a single stage. The sequenced combination of free flaps with osseointegrated dental implants has refined the surgeon's ability to provide state of the art cosmetic and functional restorations. However, comprehension of the true architectural tissue defect as well as composite flap selection and its limitations facilitate the surgeon with a strategic approach. Consequently, achieving complete oral rehabilitation demands that the reconstructive surgeon understand the impact of flap selection on the surgical and prosthetic phases of implant surgery. This presentation will outline a comprehensive approach to complex maxillofacial reconstruction which utilizes the combination of free tissue transfer and implant surgery. It will detail flap selection and their limitations, timing and sequence of the surgical and prosthetic rehabilitation.
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