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Oral Cancer

Fibula graft

03/23/2009

Question:

I had most of my right lower jaw removed and replaced with my fibula.

Along with numerous `problems` I am having, one is that the fibula is too thin. Thus fracture is a likely possibility.

I know of the bone grafting and other procedures, but I was curious of `plastic`. We hear of plastic knees, etc... Is there something similiar for the jaw?

Warm Regards; 

Answer:

The fibula graft is the best of all of the options at the present time. The jaw is also replaced with metallic (titanium) bars but the outcomes aren't as good as with the fibula. Plastic jaws aren't being done primarily due to biocompatibility and connectivity issues. The fibula, being self and bone, integrates well with the site bone.

Take care.

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Response by:

The Ohio State University Meade C van Putten, DDS, MS
Associate Professor
Director of Maxillofacial Prosthodontics
James Cancer Hospital & Solove Research Institute
The Ohio State University
Meade C van Putten, DDS, MS