ABSTRACT

Introduction 954

Anatomical considerations 954

Anatomical considerations and reconstruction 956

Classification of the mandibular defect 956

No bony reconstruction 956

Non-vascularized bone with or without soft tissue flap 957

Vascularized bony reconstruction of the mandible 959

Distraction osteogenesis 965

Dental implants 966

Temperomandibular reconstruction 966

Conclusion 967

Key evidence 967

Key learning points 967

References 967

Not life, but good life, is to be chiefly valued

Socrates

Mandibular reconstruction is one of the most difficult challenges that a head and neck surgeon may face. The field has evolved dramatically over the last 20 years and continues to do so.