Reconstruction of Mandible with Free Fibula Flap:Report of Three Cases

Abstract

Mandibular reconstructive surgery has changed in the recent times with the introduction of advanced techniques. Mandibular reconstruction a challenge for the reconstructive surgeons, is now reliable and highly successful with excellent long-term functional and aesthetic outcomes using vascularised fibular flap in various mandibular pathologies. The ideal reconstruction should restore the anatomic contour, speech, mastication and aesthetics. The free vascularised fibular flap is the primary source of bone for reconstruction of large segmental mandibular defects due to its rich vascularity. We present three cases of segmental mandibular defects reconstructed primarily with vascularised free fibular flap without skin paddle which were followed up for two years.