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National Journal of Maxillofacial Surgery
 
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CASE REPORT
Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 143-146

Utilization of non-vascularized bone graft with regional flap as an alternative for facial reconstruction


1 Department of Oral and Maxillofacial Surgery and Cleft and Craniofacial Reconstructive Surgery, Karpaga Vinayaga Institute of Medical and Dental Sciences, Chengalpet, Chennai, Tamil Nadu, India
2 Saveetha Institute of Oral Cancer, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Vellapanchavadi, Chennai, Tamil Nadu, India
3 Oral Cancer Foundation, Karpaga Vinayaga Institute of Dental Sciences, Chengalpet, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Vinod Krishna Krishnaswamy
Saveetha Institute of Oral Cancer, Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, No: 162, Poonamallee High Road, Vellapanchavadi, Chennai - 600 077, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njms.NJMS_133_20

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Mandibular resections decision is one of the most important steps in oral cavity malignant or nonmalignant lesions associated with the mandible. The role of mandibular reconstruction is not only for cosmesis, but it is also indicated for functional rehabilitation such as swallowing, phonetics, and for facial symmetrical. Even though the free tissue transfer is considered a gold standard for mandibular reconstruction, the importance of nonvascularized bone grafts (NVBGs) such as fibula, calvarium, rib, sternum, and iliac are still persisting in mandibulectomies condition like patient who have not taken radiotherapy or not willing to undergo radiotherapy or not fit for free tissue transfer and provides a good contour of mandibular replacement. The success rate of NVBG depends upon patient selection, preoperative planning, and meticulous nursing care. Addition to NVBG, regional flaps such as pectoralis major myocutaneous (PMMC) flap will help in soft-tissue replacement of the defect as well as it will help in the situation where primary closure and airtight closure is not possible. This case report will discuss in detail about the management of anterior segmental mandibulectomy due to oncological resection and reconstruction with NVBG with fibula and PMMC.


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