Mandibula reconstruction with fibula flap

Abstract

Microvascular mandibular reconstruction should be considered the procedure of choice for bone replacement in radiated tissue beds, orocutaneous fistulae with segmental bone loss, osteoradionecrotic mandibles and for immediate composite tissue reconstruction. The free vascularised fibula has significant potential for the reconstruction of the mandible. Its architecture has certain advantages over other donor sites where considerable planning is required to orient the bone curvature and vascular pedicle in relation to the recipient vessels. In this study we present 21 cases of mandible reconstruction with fibular flap (1, 2).