HYBRID EVENT: You can participate in person at Singapore or Virtually from your home or work.

8th Edition of International Conference on
Dentistry and Oral Health

March 25-27, 2024 | Singapore
Dental 2024

Laurindo Moacir Sassi

Laurindo Moacir Sassi, Speaker at Dental Congress 2022
Cancer Center Erasto Gaertner and Evangelical Mackenzie University Hospital, Brazil
Title : Reconstruction of the mandible and maxilla with a microvascular fibular flap


Introduction: The anatomical defects left by the tumors that affect the face make us more sensitive to their destruction. The difficulties faced in facial reconstructions and rehabilitations are different for each case. Each surgical process is a challenge, especially when there is a great reconstruction to be carried out due to the anatomical defect created by the resection of cancer in the region of the head and neck, which motivates the development of new reconstruction techniques. Reconstructions with microvascularized fibula retail are a routine in our institution, so this makes us seek alternatives to give better comfort to patients covering functionality and aesthetic issues. The use of new techniques for reconstructing the middle third of the face using a microvascular fibular flap has answered our questions.
Objective: To show reconstructions with microvascularized fibula retail in large defects in mandible and new technique for the zygomatic–maxilla complex reconstruction and orbital floor, due to the difficulty in rotating the soft tissues, pedicle.
Method: 1- For patients whom require complementary therapy with radiotherapy, there is a security time to exercise or indicate radiation treatment. With the variables of more contact surface area between the segments, which facilitates bone neoformation and retail stability, thus decreasing the chance of losses of osseous segments or necrosis. 2- (New technique) After harvesting The fibula free flap in the standard fashion, differentiated osteotomies, modeling and arrangement of the fibular bone segments are performed in the receptor site of the middle third of the face.
Result: These variables in the reconstruction technique of the microvascularized fibular retail have raised a satisfactory result in aesthetics and function.
Conclusion: The new technique presented has the advantage in reconstruction of requiring only one flap, promoting the resolution of the technical difficulties of the middle third of the face.


Prof. Dr. Laurindo Moacir Sassi-PhD; MSc; DDS Oral & Maxillofacial Surgery; PhD; MSc; DDS; Department’s Chief Oral and Maxillofacial Surgery (Chief in Chair Oral and Maxillofacial Surgery). Erasto Gaertner Cancer Center - Curitiba – PR-Brazil; Residence Coordinator of (CTBMF) - Erasto Gaertner Cancer Center; Hospital Universitario Evangelico Mackenzie; Member of the Brazilian College of Oral and Maxillofacial Surgery and Traumatology; Member of the Brazilian Society of Stomatology and Oral Pathology - SOBEP; Member International Journal of Oral & Maxillofacial Surgery; Book Author: “Manual Prático para Desenvolvimento de Projetos de Pesquisa e Teses”. Publishing company: Santos. 2011; Book Author: “25 anos de prevenção de câncer bucal no Paraná: Hospital Erasto Gaertner (1989 a 2013)” Publishing company: Appris. 2013.