Iliac crest inner table free flap vs free fibula flap for mandibular reconstruction

Introduction: The main objectives in mandibular reconstruction search to recover shape, function and aesthetics. To achieve these objectives free flaps are performed. Currently fibula and iliac crest free flap are the main options for mandibular reconstruction. Preoperative planning and rapid prototyping, let us achieve better results, obtaining a better tridimensional reconstruction. Nevertheless it does not exist a treatment protocol to use the best flap for mandibular reconstruction, depending on the type of mandibular defect, initial diagnosis, bone free flap qualities, need for further dental rehabilitation or the association of an intraoral or extraoral soft tissue defect. Many factors should be considered, including the preference of the surgical team, to choose the ideal reconstruction flap. We review our experience, surgical technique and indications for free fibula and iliac crest, to establish our surgical protocol for mandibular reconstruction.