PMC3745101_01
Composite mandible defect - left side
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F1
The bone defect was extending from midline anteriorly to proximal ramus posteriorly and the soft-tissue defect was confined to the oral cavity [Figure 1].
The proximal end of the peroneal (pedicle) vessels being held in forceps and the distal end, which was used for retrograde vascularisation with left facial artery and a tributary of the internal jugular vein is shown with the background material
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F2
Thus, the vascularity was restored with retrograde flow and was well established by the time the intra oral inset was completed [Figure 2].
Late CT-Angio picture of the peroneal artery (Anterior view) showing the free proximal end
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F3
After 6 weeks, a computed tomography (CT) angiogram revealed good establishment of blood flow to the neo mandible [Figures 3 and 4].
Late CT-Angio picture of the peroneal artery (Lateral view) showing the anastomosed distal end
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F4
After 6 weeks, a computed tomography (CT) angiogram revealed good establishment of blood flow to the neo mandible [Figures 3 and 4].