Simultaneous Bi-Jaw Reconstruction: Double Free Fibula Flap Following Resection of Synchronous Oral Malignancy.

Khan, Subhendu; Saini, Varun; Singh, Vikram; Gulia, Ashish · Head Neck · 2026

case_report · Level V

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Abstract

Simultaneous reconstruction of extensive maxillary and mandibular defects in oncological cases is a complex surgical challenge. We report a case of a 56-year-old female with synchronous oral malignancy involving upper and lower alveolus. Simultaneous double free fibula osteo-cutaneous flaps were used for reconstruction of upper and lower alveolus reconstruction. We were able to circumvent this challenging case with the use of double fibular free flaps. The reconstruction successfully restored form, function, and aesthetics. This case describes the first reported use of double fibular flap for simultaneous upper and lower jaw reconstruction in a case of synchronous oral malignancy.