Simultaneous maxillary and mandibular reconstruction with a single free fibula composite flap: A case report

In this paper, one-stage bony reconstruction of both the maxilla and mandible with just one free fibula flap was reported. Preoperative planning, surgical technique, postoperative complication and prosthetic restoration were discussed in detail. In some special patients, a single fibula flap can be fit for the bone defects of both maxilla and mandible. Accurate planning and careful contouring of the fibula bone are very important. At the fourth month after the operation, the patient had severe trismus, a solid bone bridge from the maxilla to mandible was found in X-ray and CT scan films. The well-vascularized periosteum adjacent to the vascular pedicle of the fibula had significant osteogenic potential. The resection of the bone bridge and periosteum was performed. The patient had no trismus any more with the follow-up period of 2.5 years.