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Mandibulectomy with fibula graft

General

In patients where tumor has infiltrated the lower jaw, parts of the jaw may need to be removed. In such cases, it may be necessary to reconstruct with vascularized bone. The fibula is well suited for this. Hip bone is another alternative used at other centers. Lower jaw injured by irradiation (osteoradionecrosis) may also require this type of surgery.  

Indications

  • Primary tumor has infiltrated the mandible.
  • Primary tumor originating in the mandible.
  • Osteoradionecrosis

The patient's general health status, vessel status, age, and other diseases may be contraindications for reconstruction.

Goal

  • Remove tumor without great consequences for eating, drinking, speech, and appearance.

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