Reconstruction of Mandibular Defect by Free Re-Vascularized Fibula Graft: A Case Report

Abstract

Background: In maxillofacial surgery tumor ablation often causes continuity defect of mandible which results anatomical and functional morbidity of the patient. The reconstruction of the mandibular defect is mandatory to restore the oral function and speech. Various methods of immediate reconstruction are implemented by different authors time to time including autogenous non vascularized bone graft, allogenic bone graft , auto frozen mandible or reconstruction plates and others. Each has its own advantages and disadvantages including donor site morbidity, failure and others. The purpose of the present case report is to establish micorvascular free fiblula is as a better option to other methods in immediate reconstruction of mandibular continuity defect.

Objective: Anatomical, functional and esthetic rehabilitation of patients after mandibular resection

Method: Revascularization of free fibula graft by microvascular anastomosis of paroneal artery with facial artery at the segmental defect site of mandible.

Result: Remarkable contour, cosmesis and early functional rehabilatation of the patient.

Conclusion: Microvascular reconstruction with fibula is the better option for defect correction and early rehabilitation in patients with mandibular continuity defect.

Key words: Mandible, defect; reconstruction; microvascular technique; fibula graft

DOI: 10.3329/bsmmuj.v1i1.3698

BSMMU J 2008; 1(1): 35-38