Objective: To study the characteristics of the vascularized fibular free flap and the possibility of the insertion of implant at the same time.
Methods: The microvascular surgical procedure and implant technique were used in the treatment of two cases suffered from mandibular ameloblastoma. After tumor resection by partial mandiblectomy, graft of vascularized fibular free flap was performed with simultaneous insertion of 5 implant.
Results: One year later, the grafted bone was survival, the osseointegration was proceeded between the implant and grafted bone. The functional reconstruction of the mandible was excellent after prosthetic denture.
Conclusion: This is a good approach to rehabilitate bone function by using vascularized fibular free flap and one-stage implant placement.