Outcome Analysis of Non-Vascularized Bone Graft and Fibula Free Flap in Reconstruction of Mandible

Abstract

Mandibular reconstruction is frequently performed to fix segmental defects of the mandible. Vascularized fibula free flap (FF) is considered the gold standard, while nonvascularized bone graft (NVBG) is commonly indicated to a smaller defect. However, the use of FF is limited by high costs, a long procedure time, morbidity, and the need for specialized surgical staff.1 Additionally, studies have shown that the extent of defect does not limit the use of NVBG.2 The aims of this study were to assess the outcomes of NVBG and FF in mandibular reconstruction, to assess the variables that affect the outcomes of each technique, and to evaluate the variables that may indicate the use of either technique.