Since my first message did'nt bring any responce, I'm coming back to all of you with more details of what the doctors are proposing to me today, in order to stop the erosion of my left jaw (due to the radiation treatments), and to restore the missing part of the upper jaw and palate.
The material used for the transplant would be taken from my leg (vein and fibula); surgery would also include a tracheotomy (for 2 or 3 days) and a tube to feed me directly in the stomach (or the intestines?) during a month or more. chance of success: 90%
It seems to me that I'm going to suffer a lot (mouth and leg), and would like te be sure that I will gain, in terms of facial appearence, opening of the mouth, eating and speaking.
One more time, I'm asking if any of you have experienced such surgery, and what was the result (and the pain). Thanks for all your comments: I should take a decision at the end of January, when the surgeons will have told me if they consider me as operable.

Hello Vincent

Reconstruction of deficits of tissue with a composite (bone and tissue) flap and simultaneous implant placement is not uncommon.

I have sent to you (at your wannadoo email) a copy of the article below that you will find helpful.

quote:

Immediate implant supported bridgework simultaneous with jaw reconstruction for a patient with mandibular osteosarcoma
I. L. Hutchison1, A. Dawood & S. Tanner

• Describes the benefits of using CT data to generate a Rapid Prototype Anatomical Model of the mandible.
  
• Shows how the same model can be used to plan simultaneous dental implant placement and the provision of immediately loaded implant supported bridgework.
  
• Illustrates the physical benefits in terms of immediate restoration of speaking ability and masticatory efficiency and appearance.

Abstract
A patient with mandibular osteosarcoma underwent full immediate dental rehabilitation including insertion of dental implants and immediately loaded implant bridgework in the same operation as surgical resection of the tumour and scapular composite free flap reconstruction. Planning and pre-production of the titanium reconstruction plate, drill guides and bridgework using a 3D stereolithographic model of the patient's jaw is described. The advantage of this immediate full rehabilitation of an oncology patient is compared with the potential disadvantages.

Best wishes
Vinod