Mandibular Reconstruction with Vascularized Fibular Flap in Double-Barrel Technique

A 34-year-old female was referred for a left mandibular myofibrosarcoma recurrence. She received tumor ablation surgery at a local hospital 1 year ago. Her chief complaint was left lower lip numbness. Most left lower teeth were lost. Preoperative OPG showed the invasion and destruction of the left mandibular body (Figs. 44.1 and 44.2).