Abstract

The reconstruction of the mandible is a complex procedure and continues to be a challenge in reconstructive maxillofacial surgery. Indications for mandibular reconstruction are varied and include pathological resections, traumatic injuries and residual deformities amongst others. The mandible is an important anatomical unit of maxillofacial skeleton in terms of both aesthetics and function which necessitates its immediate reconstruction after resection.
 A 16 years old female patient, diagnosed with ameloblastoma of left hemi -mandible underwent resection with immediate reconstruction using free fibula flap. Twenty two months follow up reveals excellent bony union and facial contours. The objective of the treatment is to resecting the mandibular defects and reconstruction with free fibular flap.
 Our experience combined with positive literature references enhances the reliability of free fibular vascularized graft as a suitable and versatile reconstructive option for complex anatomical contours of the mandible.

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