Comprehensive Reconstruction of Mandibular Defects with Free Fibula Flaps and Endosseous Implants

Abstract

Purpose: The goal of this paper is to review the use of fibula free flaps in reconstruction of various mandibular defects, as well as illustrate that placement of dental implants into free fibula flaps is a viable option ensuring a superior functional outcome. Patients and Methods: Nine of patients with mandibular fibula free flap reconstruction who underwent dental implant placement were included in this study to demonstrate the versatility of this reconstructive technique. Results: In all nine patients, fibula flaps provided adequate bone stock for implant placement. All 30 implants were placed in bicortical fashion and none had issues with primary stability at the time of placement. Conclusion: Fibula free flap reconstruction is the treatment of choice for patients with various disease processes resulting in significant mandibular defects and can ultimately be restored with fixed dental prostheses.