Mandibular reconstruction: Key to success (Original Article)

Abstract

Reconstruction of the mandible is a universal modality for all cases, where the bony structure is removed regardless of the range. The purpose of the reconstruction is to achieve functional and esthetic recovery after surgery and also to guide the patients toward regaining personality with dignity as independent human beings. Vascularized osteo-muscular composite grafts are ideal materials for the reconstruction. The scapular composite musculo-cutaneous free flap is one of the best selections among various modalities. By using this flap, the recipient site can be effectively covered by the flap because of the three-dimensional flexibility both of the muscular pedicle and the transplanted bone. Dental implant-supported dentures may then be necessary if masticatory reconstruction is expected.