Intraoperative picture showing the operated are after removing the tumor in the buccal mucosa along with upper half of the lower jaw (mandible).

Picture showing the microvascular flap raised from the forearm.

Post operative intraoral picture showing the area of the buccal mucosa that was excised which is reconstructed with forearm microvascular flap.

Picture showing the right hemimandibulectomy specimen.

Fibula osseo-cutaneous microvascular flap is raised. The fibula bone was osteotomized at multiple sides and was screwed to the pre-bent reconstruction plate.

The plate with the fibula bone graft positioned and then screwed to the remaining mandible on either side. Microvascular anastamosed was done.

Postoperative intraoral picture showing good mouth opening and the skin paddle used to reconstruct the mucosal defect.

Post operative picture showing good facial contour and good cosmosis.

Andy Gump deformity (picture) results if the reconstruction is not done after removing the central segment of the mandible (chin area) .

Post-operative intraoral picture showing good mouth opening. Skin paddle was used to line the mucosal defect caused by excision of floor of the mouth and the anterior 1/3 of the tongue.

Post operative X-ray showing the stainless steel plate used for fixing the bone graft (fibula microvascular flap) to the lower jaw (mandible). White box showing the reconstructed area.

Postoperative picture showing the good facial contour and cosmesis.