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Gastric bypass surgery with subsequent changes in both bone metabolism and bone density leading to increased fractures and mineral deficiencies are proven concepts. Whether the patient undergoes gastric bypass surgery during maxillofacial healing or has maxillofacial surgery within a year of prior gastric bypass surgery, the effect on bony healing of the maxillofacial region remains to be studied. We provide a case report of failed reconstruction due to significant bone loss and graft resorption in a patient who underwent gastric bypass surgery 4 months after a mandibular reconstruction procedure.

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