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Updated: May 1, 2026
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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
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Mandibular reconstruction in 2004: an analysis of different techniques
Ritvik P Mehta1, Daniel G Deschler
1Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts 02114, USA.
Summary
Mandibular reconstruction has advanced significantly, offering reliable and successful outcomes for patients. Current techniques, including vascularized free tissue transfer, provide excellent functional and aesthetic results for complex defects.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Head and Neck Surgery
Background:
- Mandibular reconstruction has seen dramatic evolution over 50 years.
- Advances in microsurgery, plating, and angiosome understanding enable reliable reconstruction.
- Refined techniques continually enhance functional and aesthetic outcomes.
Purpose of the Study:
- To review current state-of-the-art techniques for mandibular reconstruction.
- To highlight the latest innovations in mandibular reconstruction procedures.
Main Methods:
- Review of current literature on mandibular reconstruction techniques.
- Discussion of vascularized osseous free tissue transfer as the gold standard.
- Exploration of common free flaps (fibula, iliac crest, scapula) and their use with endosseous implants.
Main Results:
- Vascularized osseous free tissue transfer yields excellent long-term functional and aesthetic outcomes.
- Mandibular reconstruction plates with soft-tissue flaps remain an option for select cases.
- Innovations include intraoperative external fixation, periosteal free flaps, distraction osteogenesis, and biodegradable scaffolds.
Conclusions:
- Oromandibular reconstruction is a reliable and highly successful procedure.
- Head and neck surgeons can achieve excellent long-term functional and aesthetic results.
- Ongoing innovations continue to improve reconstructive capabilities.
