← Return to Mandible Reconstruction with Fibula Free Flap. Is this an option?

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Hi William Olsen and others,

I’m a retired family doc who had chemoradiation for SCC of my tongue base 19 years ago. About 9 months ago during a routine dental visit I was found to have osteradionecrosis of my left jaw. I had oral surgery to remove 2 teeth and clean out the necrotic bone. I had good soft tissue healing but 2 weeks ago on follow-up was found to have progression to a pathological mandibular fracture.
It’s been daunting and scary to contemplate getting bone graft and free flap reconstructive surgery.
The comments on this support group chat have really helped me with my attitude and anxiety about going forward. I’m still in the process of deciding where I will have the surgery.
Thanks again to all of you on this thread!

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Replies to "Hi William Olsen and others, I’m a retired family doc who had chemoradiation for SCC of..."

Hi Doc,
I was 65 when I had my mandiblectomy surgery. I understand the reluctance as I worked it out in my head for about two months. I think what sold me on the surgery was the idea of not having the surgery, having a fracture of the mandible, which then becomes an emergency or worse. However, after going through cancer treatments years before, I realized the healing would be faster and likely far fewer side effects. While a bit more involved than a BHR hip surgery, I found the entire process agreeable. It also results in a great story when the scars are discovered. And to make a shameless plug, I had this done at Mayo Clinic Rochester by a surgery team that has trained others in this procedure worldwide. I went forth with little worry, resultant successful and quickly became an advocate for this surgery, complex as it is.
I wish you well sir. That future day when you bite into a fresh ear of corn without pain or worry, don't be surprised if tears of joy soon follow.