Composite anterior mandibular defect reconstruction

ABSTRACT

Single technique of tissue transfer alone may not be sufficient to restore a huge composite defect in the anterior mandibular segment. Combination of a second flap of either regional or free flap is often considered complimentary in the reconstruction of a complex wound in this region. We described an innovative way by combining pedicled submental island flap and a double barrel free fibula osteoseptocutaneous flaps to reconstruct soft tissue and mandible of the mental region. This technique can be considered as a valuable adjunct in the reconstructive armamentarium to provide satisfactory contour, colour and texture match without significant donor site morbidity