The reason the scapula was mentioned is that my left arm
is partially paralyzed from radiation anyway, brachial plexopathy, and can't raise it forward or laterally, but it's not the first choice for this surgery, fibula is, and scapula may be bulky and interfere with chewing, dentures, so I chose the fibula. I hope to get dentures one day.

There may be numbness, lip paralysis to some extent since they cut through the nerve in the jaw. I spoke to the SLP here, and it may recover, although was kind of vague. Thursday I see my team at the CCC, so will get more answers.

Here is a good post by MSKCC for their patients, which may differ somewhat at different facilities. It says mandibularectomy, which is different than a mandiblectomy. The fist is partial thickness, not full thickness or segmental mandiblectomy, I believe. Any case, it's further information.

https://www.mskcc.org/cancer-care/p...mandible-reconstruction-fibula-free-flap


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs