Year : 2024

Volume : Volume 16

Issue : Issue 6

Address for correspondence :
Dr. Danish Khan
zaibhospitaljodhpur@gmail.com

Abstract

Background: In the surgical treatment of head and neck cancers, mandibulectomy is a frequently performed procedure; however, it causes severe functional and cosmetic impairment. Because it provides dependable bone stock, versatility, and the possibility of dental rehabilitation, free fibula flap reconstruction has emerged as the gold standard. The functional results of patients who had free fibula reconstruction after mandibulectomy for malignant disease are assessed in this retrospective study. To evaluate speech, swallowing, mastication, appearance, and general quality of life, clinical records and follow-up documentation were examined. In the majority of patients, the free fibula flap resulted in adequate swallowing, intelligible speech, and satisfactory oral competence. It also showed excellent reliability with high survival rates. Aesthetic results were good, boosting patient confidence and psychosocial well-being, even though masticatory efficiency was impaired in those who did not receive prosthetic or implant-supported rehabilitation. In certain cases, the addition of adjuvant radiotherapy affected recovery, especially in terms of swallowing. Despite certain drawbacks, free fibula reconstruction is still the recommended technique for mandibular reconstruction in cancer patients because it provides a predictable functional recovery and significant quality of life enhancements. Keywords: Free fibula flap, Mandibulectomy, Head and neck cancer, Oral and maxillofacial reconstruction,