Free fibular flap vascular pedicle calcification

Osseous free flaps are major reconstruction choices of the segmental mandibular defects. However, etiology of defects in mandible is variable; tumor-related surgery, trauma, radiation, or congenital anomalies are the most common causes. The advent of microvascular surgery has achieved the reconstruction of complex mandibular defects. The options for bony free-tissue transfer for mandibular reconstruction primarily depend on the fibula, iliac, scapula, and radius bone. The free fibular flap continues to be first choice in the reconstruction of mandibular defects because of its advantages. In this report, rare complication of vascular pedicle calcification after mandibular reconstruction with free fibular flap is presented.