Table of Contents
ISRN Surgery
Volume 2012, Article ID 792674, 6 pages
Clinical Study

Free Microsurgical and Pedicled Flaps for Oncological Mandibular Reconstruction: Technical Aspects and Evaluation of Patient Comorbidities

Division of Plastic, Reconstructive and Cosmetic Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA

Received 12 October 2011; Accepted 29 November 2011

Academic Editor: K.-E. Kahnberg

Copyright © 2012 Victor J. Hassid et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Oncologic mandibular reconstruction has changed significantly over the years and continues to evolve with the introduction of newer technologies and techniques. Patient demographic, reconstructive, and complication data were obtained from a prospectively maintained clinical database of patients who underwent head and neck reconstruction at our institution. The free fibular flap is now considered the gold standard for mandibular reconstruction. However, in patients with multiple comorbidities, lengthy procedures may be less optimal and pedicled flaps, with specific modifications, can yield reasonable outcomes. Technical aspects and comorbidity profiles are examined in the oncological mandibular reconstruction cohort.