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Background: Pathologic fractures of the mandible following radiation and embolization can be a challenging problem for patients. Occasionally, patients have already completed the oncologic component of their treatment and are trying to move on with their lives. A pathologic fracture is not only painful, but also a frustrating hindrance as it limits food intake and overall nutrition. In addition, pathologic fractures are challenging to repair.

A Step-by-Step Approach to Free Fibula Flap Mandible Reconstruction of Mandibular Pathologic Fractures: A Pictorial Essay