22/01/2026
Presenting one of the earliest free fibula flap reconstructions performed in Karachi 19 years ago, following complete mandibular resection (angle to angle), at a time when such complex microvascular reconstructions were rare and often met with limited success.
The procedure involved harvesting the fibula bone from the lower leg along with its vascular pedicle, which was then microvascularly anastomosed to vessels in the neck.
A composite skin paddle, supplied by the same blood vessels, was used to provide intra-oral lining, ensuring coverage and long-term protection of the reconstructed mandible.
The surgery was performed by Dr Jehanzeb Mughal, with Dr Shahab Ghani as the plastic surgeon, reflecting an early multidisciplinary approach to advanced maxillofacial reconstruction in the region.
Nineteen (19) years on, the patient has voluntarily shared his happiness and satisfaction, a testament to the durability of the reconstruction and the life-changing impact of timely, skilled surgery.
