Mandibular Reconstruction

Mandibular reconstruction (fibula, scapula, DCIA, etc.)

Restoring Smiles with Microvascular Mastery

Mandibular reconstruction involves rebuilding segments of the lower jaw lost to trauma, tumor resection, or congenital defects. Vascularized bone flaps—most commonly fibula, scapula, or deep circumflex iliac artery (DCIA) grafts—are harvested and transferred microsurgically to recreate jaw continuity and support dental rehabilitation. Soft-tissue components may be included to address mucosal or external skin defects.

Personalized Treatment Plan:

Dr. Singhavi employs virtual surgical planning (VSP) to simulate osteotomies and design patient-specific cutting guides for flap harvest and inset. He selects the donor site based on defect size, required bone length, and patient anatomy: fibula for long segments and concurrent implant feasibility; scapula for versatile soft-tissue bulk; DCIA for robust bone height. Intraoperatively, he meticulously performs microvascular anastomoses under high-resolution magnification to ensure reliable blood flow. Postoperative care emphasizes flap monitoring, nutritional support, and early physiotherapy.

Benefits:

Through Dr. Singhavi’s advanced microvascular techniques, patients regain mandibular continuity and facial symmetry in a single operation. The transplanted bone integrates seamlessly, supporting dental implants that restore chewing function and speech clarity. Immediate soft-tissue reconstruction addresses intraoral lining or external contour needs, reducing scar contracture and fistula risk. This holistic strategy minimizes hospital stays and expedites rehabilitation, empowering patients with durable function, an aesthetic profile, and renewed self-confidence.