Jaw in a Day Surgical Approach: Outcomes of Digitally Driven Maxillofacial Reconstruction

Sunday, October 12, 2025

9:42 AM - 9:48 AM EDT

Location: 127

Disclosure(s):

Cristina E. Benites, MBS:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: The "Jaw in a Day" (JIAD) technique represents an innovative approach to maxillomandibular reconstruction by combining tumor resection, free flap reconstruction and immediate prosthesis placement in a single surgical procedure. We conducted a case series of 21 patients evaluating the short-term clinical outcomes, complication rates, and hospital length of stay for patients undergoing JIAD.

Methods: This case series analyzed 21 patients undergoing JIAD between January and December 2024 at this tertiary care institution. Data were collected on demographics, complications, flap outcomes, and functional outcomes. Descriptive statistics were used for analysis.

Results: The cohort consisted of 53.8% females and 46.2% males with a mean age of 53.6 years (Range: 13-83years). Most patients (84.6%) were Caucasian/White and 72.7% identified as never-smokers. Minor complications occurred in 15.4%. All flaps were viable at last follow-up. The mean additional OR time for the dental portion of the procedure was 2.4 hours. The mean hospital length of stay was 9.7 days. 48/50 implants survived. All patients have fully functional dental prostheses and all are on a full, normal diet.

Conclusions: This study describes the JIAD technique used at out tertiary case institution and its initial outcomes. The procedure added little additional OR time, with post-operative outcomes as good as in maxillomandibular reconstructions without dental implants and prosthesis. By providing patients with a full oral reconstruction at the time of their ablative/reconstructive procedure, it is possible to restore oral function much sooner and much closer to a pre-disease/pre-operative level.

Presenting Author(s)

Cristina E. Benites, MBS

MS4
NSUMD
Miami, FL, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Co-Author(s)

KM

Kartik Motwani, PhD

MS4 MD-PhD Candidate
University of Florida
Gainesville, FL, United States

Disclosure information not submitted.
WR

William J. Reschly, MD

Physician
ENT Associates
Dunedin, FL, United States

Disclosure information not submitted.
AL

Austin S. Lam, MD

Assistant Professor
University of Florida
Gainesville, FL, United States

Disclosure information not submitted.

Co-Author(s)

DC

Dustin Conrad, MD

Assistant Professor
University of Florida, United States

Disclosure information not submitted.

Senior Author(s)

PD

Peter T. Dziegielewski, MD

Chief, Head and Neck Surgical Oncology & Microvascular Reconstructive Surgery
University of Florida
Gainesville, FL, United States

Disclosure information not submitted.