"Wrap-Around" or Lateral Augmentation of the Mandibula with Vascular Re-Anastomosis stemming from the Fibular Bone due to Primary or Secondary Mandibular Hypoplasia (in Combination with Temporomaxillary Joint Endoprothesis)

For all patients, the goal was to achieve significant improvement of function and asthetics via fibular "wrap-around" augmentation. Further advantage of this operation method is transoral positioning without profound submandibular incision lines. However, the method is very work-intensive regarding a non-compromised perfusion due to very narrow anatomical relationships. With limited cases - as a result of the rare occurence of the situation - transoral positioning is the therapy of choice (despite high work intensity). Sustainable augmentation is achieved. It may be suitable to combine the operation method with soft tissue augmentation - for example with fatty tissue aspiration or free SIEA micro-anastomotic tissue transplant. Keywords: augmentation, fibular transplantation, mandibular hypoplasia