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Updated: May 9, 2026
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Reconstruction of a bilateral mandibular defect due to trauma using a single fibula free flap
Kumara Ekanayake1, Deepak G Thomas, Peter A Brennan
1Consultant/Associate Professor, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka; Dublin Dental University Hospital, Dublin, Ireland.
Abstract:
The reconstruction of noncontiguous bilateral mandibular defects using a single bony free flap is rarely performed because such defects are seldom encountered. This report describes the reconstruction of a bilateral body defect caused by shrapnel injury. A free vascularized osteomyocutaneous fibula flap was designed to replace 2 mandibular defects in the patient. The midportion of the fibula was resected without damage to the periosteum and vascular pedicle, and a skin paddle was used to monitor the flap. This would appear to be the first report of its use in the reconstruction of bilateral mandibular defects from trauma.