Abstract

Objectives: Reconstruction of mandibular defect after resection of ameloblastoma using free vascular fibula flap and endosseous dental implants.
Surgical Procedure: Ameloblastoma was resected under general anesthesia with proper safety margins and the mandibular defect was reconstructed immediately with vascularized free fibula flap connected to surgical ped vessels. Pre-contoured reconstruction titanium plate was manipulated to fix proximal and distal segment of the mandible together with the fibula flap. After healing phase, endosseous dental implants were installed via transmucosal approach under local anesthesia.
Conclusion: Reconstruction of mandibular defects using free vascular fibula flap and endosseous implant is considered as a valid and successful technique to obtain proper function and esthetics. Moreover, it seems that using regular diameter dental implants in fibular bone is much more successful than using wider diameter fixtures in stability and osseointegration.

Keywords: Ameloblastoma; Fibula flap; Endosseous implant