Reconstruction of Mandible by Free fibula Vascular Graft after Total Mandibulectomy - A Case Report

Abstract

Reconstruction of mandible is important to provide good functionul ,and cosmetic result afterresection of the bony lesions involving large area of the mandible. The purpose of primary reconstruction is to avoid the collapse of maxillo- mandibular alignment due to scarring and fibrosis. Primary reconstruction by micro vascular bone grafting has been considered as the gold standard treatment optionl.1,2 The patients are rehabilitated functionally to minimize the functional disturbances thus the patient's psychological aspects as well as the quality of the life also improve. However local facilities for surgery, surgical morbidities,medically compromised condition of the patient, infection, cost and various other parameters may not often permit this. In this instance, reconstruction plate plays a major role as a preliminary option which avoids all the esthetic and functional deformities and further maintains a reasonable facial contour. 3,4. Spontaneous bone regeneration in young individuals after segmental resection of mandible has been sporadically reported. This case reports spontaneous regeneration of the mandible in a 25 year old Indian patient who underwent total mandibulectomy preserving the bilateral condyle and stabilized with indigenous, titanium plate for an extensive resection of Odontogenickeratocyst.