Mandible microsurgical reconstruction with osteocutaneous fibular flap, with the assistance of a 3D model, in a trauma patient: case report

Abstract

This is a case report of the mandible microsurgical reconstruction with osteocutaneous fibular flap in a 16-year-old patient. A victim of an assault with a firearm projectile and blunt trauma to the face, resulting in a comminuted mandible fracture, loss of dental elements, and extensive soft tissue injuries. After treatment of the acute phase, we chose microsurgical reconstruction with a free fibula flap due to the mandibular defect's extension and the possibility of dental rehabilitation. The use of three-dimensional models of the mandible and fibula was exceptionally helpful in making the best surgical planning of the osteotomy areas, decreasing the surgery flap's ischemia time.

Keywords

• mandibular reconstruction
• fibula
• microsurgery
• three-dimensional printing
• jaw
• mandibular fractures