Jaw Restoration using a Vascularized Fibular Flap: A Case Report


Authors : Usha Topalkatti; Jhansi Mani Mahadeva; Petelaviu Khezhie; Ameer M Shazley

Volume/Issue : Volume 10 - 2025, Issue 5 - May


Google Scholar : https://tinyurl.com/mr37dx4c

DOI : https://doi.org/10.38124/ijisrt/25may083

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : The mandible plays a critical role in shaping the human facial structure and significantly supports orofacial functions by serving as the foundation for the dentition. When reconstructing a discontinuity defect of the mandible, surgeons bear the important task of not only restoring function and aesthetics but also maintaining the patient’s overall quality of life by reestablishing the ability to chew, speak, and achieve a natural appearance. Various donor sites, such as the iliac crest, radius, scapula, and fibula, have been utilized to accomplish these reconstructions.

References :

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  2. Poojary D, Sandeep KM, Shetty KP, Shetty S, Shetty P, Baptist J, Singh R. Incidental mishaps and learning curves during free fibula reconstruction of mandible: a case report. J Med Case Rep. 2025 Mar 11;19(1):109. doi: 10.1186/s13256-025-05150-0.
  3. Urlaub KM, Ettinger RE, Nelson NS, Hoxie JM, Snider AE, Perosky JE, Polyatskaya Y, Donneys A, Buchman SR. Nonvascularized Bone Graft Reconstruction of the Irradiated Murine Mandible: An Analogue of Clinical Head and Neck Cancer Treatment. J Craniofac Surg. 2019 Mar/Apr;30(2):611-617. doi: 10.1097/SCS.0000000000005032.
  4. Cohen Z, Zhang KK, Kim M, Haglich K, Woods J, Monge J, Matros E, Boyle JO, McCarthy C, Cracchiolo JR, Cohen MA, Shahzad F, Nelson JA, Allen RJ. A preliminary analysis of patient reported outcomes following posterolateral mandible reconstruction: The role of flap type. J Surg Oncol. 2024 Mar;129(3):617-628. doi: 10.1002/jso.27520. Epub 2023 Nov 20
  5. Sobti N, Ahmed KS, Polanco T, Chilov M, Cohen MA, Boyle J, Shahzad F, Matros E, Nelson JA, Allen RJ Jr. Mini-plate versus reconstruction bar fixation for oncologic mandibular reconstruction with free fibula flaps: A systematic review and meta-analysis. J Plast Reconstr Aesthet Surg. 2022 Aug;75(8):2691-2701. doi: 10.1016/j.bjps.2022.04.097. Epub 2022 May 6.

The mandible plays a critical role in shaping the human facial structure and significantly supports orofacial functions by serving as the foundation for the dentition. When reconstructing a discontinuity defect of the mandible, surgeons bear the important task of not only restoring function and aesthetics but also maintaining the patient’s overall quality of life by reestablishing the ability to chew, speak, and achieve a natural appearance. Various donor sites, such as the iliac crest, radius, scapula, and fibula, have been utilized to accomplish these reconstructions.

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