Head & Neck Cancer Center

Vascularised Free Fibular Flap Mandibular Reconstruction

Head & Neck Cancer Center

Vascularised Free Fibular Flap Mandibular Reconstruction

The Mandible is also known as Lower Jaw or Jawbone. It is the largest, strongest and lowest bone in the human face. Mandible forms the lower jaw and its main function is to hold lower teeth in place. Oral Cancer is rapidly increasing in the world due to unhealthy lifestyle. Jaw Bone Cancer is one of the most common Oral Cancer. It leads to the formation of painful lumps on the tissues of the jaw. Smoking and Tobacco are the major causes of Jaw bone cancer.

In most of the Head and Neck cancer surgery, Cancer Surgeon removes the Mandible to avoid further complications. Mandibular Reconstruction is one of the most complex and challenging task for surgeons. Removal of Mandible affects person’s appearance and voice. Hence Mandibular Reconstruction treatment is necessary to bring person’s speech and appearance back.

The Vascularised Free Fibula Flap (VFFF) has become the most popular reconstruction method for segmental Mandibular defect because of adequate bone graft length and acceptance of dental implants. Hence Vascularised Free Fibula Flap procedure is performed for better cosmetic result, speech and swallowing rehabilitation.

Dr Amit Chakraborty is a well experienced, renowned and skillful Cancer Surgeon. He is an expert in the Mandibular Reconstruction procedure. Dr Amit Chakraborty has performed lots of Mandibular Reconstruction treatment by Vascularised Free Fibula Flap method successfully.

Mandibular Reconstruction Goals

Removal of Mandible creates various problems in person’s life such as difficulty in speaking, chewing, swallowing and salivary control. Along with these functional problems, the facial aesthetics also gets damaged. All these issues affect person’s routine life and confidence level. Major goals of Mandibular Reconstruction procedure are:

  • Restoring the continuity of missing bone segment
  • Providing foundation for dental restoration
  • Providing soft tissues for internal lining and external cover
  • Restoring sensate and functioning lower lip with sufficient buccal sulcus.
  • Restoring patient’s appearance and functions of Jaw.
  • Advantages of Vascularised Free Fibula Flap Mandibular Reconstruction

    Vascularised Fibula Flap (VFF) has various benefits such as:

    • Vascularized Fibula Flap heals rapidly and requires shorter period of immobilization.
    • Less chances of Non-union.
    • Greater resistance to infection
    • Less risk of bone resorption.
    • No creeping substitution.
    • High pressure resistance
    • Low complication rates
  • The Vascularised Fibula Flap (VFF) is the best option for Mandibular Reconstruction treatment because of its adequate bone length. VFF is a boon for Head and Neck cancer patient.

Dr. Vineet Kaul Head and Neck Surgical Oncologist CK Birla Hospital, Gurugram Hypopharyngeal Cancer, Laryngeal Cancer, Lip and Oral Cavity Cancer, Metastatic Squamous Neck Cancer with Occult Primary, Nasopharyngeal Cancer, Oropharyngeal Cancer, Paranasal Sinus and Nasal Cavity Cancer, Salivary Gland Cancer, Oral Cancer, Throat Cancer, pharynx Cancer, Voice box Cancer, larynx Cancer, Paranasal sinuses Cancer, nasal cavity Cancer, Salivary glands Cancer, Head Cancer, Neck Cancer, Lip and oral cavity surgery, Laryngeal and hypopharyngeal cancer surgery, Thyroid and parathyroid gland surgery, Salivary gland surgery, Nose and sinus tumour surgery, Mandible (lower jaw) and Maxilla (upper jaw) tumour surgery, Microlaryngeal surgery, Laryngotracheal reconstruction, Paediatric head and neck solid tumour surgery, Scalp and face cutaneous cancer surgery, Minimal access to head and neck surgery, Endoscopic and open skull base surgery, Complex neck neurogenic tumours and paraganglioma surgery,

Dr Vineet Kaul has an overall experience of more than 9 years. Before joining the CK Birla Hospital, he was working as a Consultant, Head & Neck Surgery at Artemis Hospital, Gurugram. Dr Vineet Kaul is a versatile and experienced Head and Neck Surgical Oncologist. He did his fellowship training at IFHNOS-MSKCC, New York. Then he completed his clinical observership at the prestigious head and neck DMG, Tata Memorial Centre, Mumbai. Dr Vineet is well-trained in performing head and neck plastic reconstruction procedures and complex anterior and lateral skull base surgeries. Also, he has numerous publications in national and international journals to his credit. He is a life member of the Foundation for Head and Neck Oncology, India and the Association of Otolaryngologists of India.

The best reference


Dr. Vineet Kaul Sir is a highly skilled and enthusiastic Oncosurgeon. He manages challenging and difficult cancer surgeries like Head & Neck surgeries in a wonderful way. His Care for the patient before , during and after operation is commendable. From consultation and behaviour to the treatment, minimal access to the surgical site everything is excellent.
He is a brilliant surgeon.His passion for his branch can be seen while he is performing any cancer surgery.A very polite and down to earth person. Working with him inside OT is always pleasurable.

Mrs. Kaur


Dr. Vineet Kaul is a brilliant cancer surgeon, I had the priviledge of collaborating with him and then could I know the excellent outcome of his surgeries…

A very polite and down to earth person he is….

Highly recommended 👍

Mr. Prabhat


From the consultation and behaviour to the treatment, everything is excellent. Got cancer surgery of my father in law last year and he is alright now.
All the best to Dr. Vineet Kaul

Mrs. Neha Kamal


I consuted Dr. Vineet Kaul regarding my wife. I found his dealing of the patient very compassionate and and full of empathy. His advise was very practical and not economy driven . his knowledge of the subject is latest. I recommend him to all cancer patients.

Mr. Vilas Ram


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