The composite tissue defect of mandibule following the surgical resection of head and neck neoplasma or osteoradionecrosis causes functional and cosmetic disorders. Mandibular reconstruction is, therefore, necessary to obtain satisfactory results. The introduction of microvascular surgery has made it possible to transfer various types of vascularised bone grafts and this technique is considered one of the most. reliable procedures for mandibular reconstruction. Recently it has been reported that osteocutaneous scapular flap is useful for mandibular reconstruction. We have performed, over the last 2.5 years, 13 mandibular reconstructions using vascularized osteocutaneous scapular free flap and successful results have been achieved.