Hi, Salk,

Wow, you have been dealing with a very tough and challenging problem. My husband recently had jaw reconstruction with a fibular flap (Nov 09). Osteoradionecrosis (ORN) was the diagnosis for his collapsed jaw. His bite was so far out of alignment that he was able to eat very little by mouth. While the surgery was successful, he had to have the skin part of the flap replaced with a larger island of skin from his torso. This was because the skin had shrunk and was pulling away from the jaw and exposing the plate. There wasn't enough bulk to the original skin flap to cover the area. That procedure was done on April 5th.

We are so happy with his results. The contour of his face has been restored. Prior to that, his face was concave on the affected side. For all of his reconstruction surgeries, he was treated at the Hospital of the University of Pennsylvania by Dr. David Low. He is known there as "the king of flaps". Wonderful man.

My husband is eating more and more every day. He did lose some more teeth in Nov., however he does have enough teeth left for chewing. I wish you all the best as move forward with your search.

Let us know what you decide to do.

Anita