Seminars in Plastic Surgery 2019; 33(01): 046-053
DOI: 10.1055/s-0039-1677791
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free-Flap Reconstruction of the Mandible

Roderick Y. Kim
1  Division of Maxillofacial Oncologic and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
,
Mofiyinfolu Sokoya
2  Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Yadranko Ducic
2  Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas
,
Fayette Williams
1  Division of Maxillofacial Oncologic and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas
› Author Affiliations
Funding None.
Further Information

Publication History

Publication Date:
08 March 2019 (online)

Abstract

Mandible reconstruction has evolved over the years with advances in surgical options and three-dimensional technology. Although nonvascularized bone grafting is still used, vascularized flaps show advantages with immediate reconstruction, the possibility of immediate dental implants, and the ability to reconstruct composite defects of both soft tissue and bone. This article discusses current vascularized techniques for mandible reconstruction. While each reconstructive method has advantages and disadvantages, a defect-based reconstruction focused on full rehabilitation allows surgeons to plan and counsel the patient for the best available reconstruction.