Conceptual considerations in mandibular reconstruction

Microsurgical free tissue transfer allows for the immediate reconstruction of any composite mandibular defect. Most patients are candidates for reconstruction, and careful preoperative planning is an important key to success. Osteocutaneous free tissue transfer is currently the reconstructive modality of choice. The type of free flap used is determined by the requirements of the defect. Techniques such as condylar autotransplantation and osseointegrated implants are important adjuncts in achieving the best aesthetic and functional result.