A Review of Mandibular Reconstruction with Free Microvascularised Fibular Flap

Mandibulectomy has traditionally been the mainstay of surgical therapy for oral squamous cell carcinoma adjacent to or invading the mandible, osteoradionecrosis, osteomyelitis of the jaw and is the “gold standard” against which all other operations must be compared. Defects can be restored using mandible bone grafts or grafts from other anatomical spaces like iliac crest, scapula, skull, tibia. For large mandible defects combined osteofasciocutaneus, osteoseptocutaneus, osteocutaneus grafts are used. Literature shows up to 10 years of follow up of intagrated fibular grafts without major complications and up to 3 years of fully osteointegrated and funcionating dental implants in fibular grafts.