ABSTRACT
The mandible is an important structure for function, esthetics, and quality of life. Etiologies for mandibular defects include ablative cancer surgery, trauma, osteoradionecrosis, and infection. Repair of these defects remains a challenge for the head and neck reconstructive surgeon. Ideally, reconstruction would provide a solid arch to articulate with the upper jaw to restore preoperative occlusion and cosmesis, maintain oral competence to allow fluent, intelligible speech and a normal swallow, and allow for dental rehabilitation with functional mastication. These goals can be met for most mandibular defects.
