Following a maxillectomy, I have had the fibula flap reconstruction. I have also had a radial forearm flap added to improve blood flow and help in reconstruction. I have had 60Gy RT post the fibula and pre the forearm.

Somewhere in the planning someone forgot to tell the surgeon that implants are not suitable for folk who have had radiation over 50GY. Until very recently the surgeons were telling me that implants were the way to go. Then they found out that that implants are not recommended. Too late, the surgery is complete, and so it the RT.

My mouth is shallow with little sulcus (gum). I will have difficulty with any denture or plate, as I have 8 teeth missing and the remaining 6 will have to carry the load. There is a chance that an ill fitting denture could cause more lesions and increase the risk of cancer. Dentures need to be regularly altered, and a new denture every two years is recommended. A chrome plate is a better option, but ensuring it does not move is more tricky, and it raises issues regarding long term oral health.

There are no low risk options for me. I am healthy, fit and in my fifties. I am finding it difficult to get good quality information from my team.

Suggestions?