Mandibular reconstruction is more frequent in cases of tumors, osteomyelitis, osteoradi-onecrosis, and trauma. Both adequate restoration of function and an acceptable aesthetic result are difficult to obtain, but necessary. A fibular flap is an excellent option for the reconstruction of extensive bone defects which offers many advantages. The present report describes an original surgical procedure for the mandibular reconstruction of two different defects using a single fibular flap. Because of the great importance and the different functions of the mandible, its reconstruction is a major challenge and is a subject of continuous study for the surgeon. Historically, the correction of defects of the mandible has been based on the use of bone grafts, of alloplastic implants and, more recently and more successfully, of microsurgical free flaps. A wide variety of microsurgical flaps have been described, with the fibula being the donor area of choice for most patients. The iliac crest, the scapula, the radius and other donor sites may also be indicated in specific situations. Reconstruction with bone grafts is simple but its use is limited to small defects and does not provide osseous tissue appropriate for osteointegrated dental implants.
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