Reconstructive Surgery for Head and Neck Cancer Patients

Figure 4

Composite anterior mandibular resection for a large invasive floor of mouth cancer (a). Skin markings for a fibula osteocutaneous free flap (b). Approximately 5 to 7 cm of proximal and distal bone are left in situ (c). Osteotomies for shaping the fibula can be made prior to or after pedicle division (d). Fibula osteocutaneous free flap after rigid fixation with a titanium reconstruction plate (e). Flap inset (f).

(a)

(b)

(c)

(d)

(e)

(f)