HI everyone,
I'm new to this forum. There's so much info here. Wow. I hope someone can share his/her experience with me on this.

I was diagnosed with MEC following the birth of my baby. The 1st mandibular reconstruction w fibular flap failed (doctors tried to salvage it but it still didn't work) and an infection to the wound had set in on the 4th post-op day so a 2nd free fibular flap wasn't performed then. Having 3 surgeries within 4 days was no fun.

I'm not looking forward to more surgeries but without reconstruction I won't be able to move forward with oral rehab. Living this past year without teeth and not being able to chew (liquids only) are but some adjustments amongst others while caring for 2 young children.

I only have 1 fibular left and want to make it count. I was also told secondary mandibular reconstruction w free fibular flap would be more difficult with scarring and limited arteries... Does anyone have any recommendations who and where there are good, experienced surgeons for the free fibular flap? In California? Elsewhere in the US? Anyone went thru' UCSF? Stanford?

Many thanks



female, thirties, no smoke/drink. Dx low grade MEC of floor of mouth, Stg IV 06/09.
Tx resection 07/09, anterior segmental mandibulectomy, neck dissections, trach. recon w free fibular flap failed. pectoralis major flap cover soft tissue defect. dental rehab impossible. No rads no chemo, trismus.