Study aim: Demonstrate the versatility and suitability of fibula free flap for reconstruction of complex mandibular defects with implant supported prosthesis. Methods: retrospective review of nine patient charts who underwent fibula free flap reconstruction of mandibular defects and endosteal implants placement. Results: no fibula or implant failure occurred in patients included in the study. Eight out of nine patients were suitable for final prosthesis fabrication. One patientіs healing was complicated by poor healing. Eight patients who received final prosthesis expressed satisfaction with the final result. Conclusions: microvascular reconstruction of mandibular defects with fibula free flap allows for comprehensive orofacial reconstruction providing superior esthetic and functional outcomes.

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