No Fibula? Two Scapulas: Total Mandibular Reconstruction

Sunday, October 18, 2026

1:28 PM - 1:35 PM PT

Location: West Exhibit Hall A, Learning Zone 6

Moderator(s)

KG

Katerina Jane Green, MD

Resident Physician
Mayo Clinic
Jacksonville, Florida, United States

Panelist(s)

Natalie R. Weiss, MD, MBA

Resident Physician
Mayo Clinic
Jacksonville, FL, United States
PP

Phillip Pirgousis, MD

Otolaryngologist
Mayo Clinic
Jacksonville , Florida, United States
Samip Patel, MD

Samip Patel
Mayo Clinic
Jacksonville, FL, United States

Disclosure(s):

Natalie R. Weiss, MD, MBA:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

We will review a complex case of mandibular osteoradionecrosis and cancer recurrence in a patient with a prior fibula free flap who underwent single stage bilateral scapula tip free flap reconstruction for composite mandibulectomy.
We will highlight surgical anatomy and techniques for operating in the previously operated and irradiated head and neck, and for chimeric scapula tip and latissimus myocutaneous free flap harvest. We hope to provide pearls and guidance to audience members who may face a situation where this type of reconstruction is necessary so that it could be reproduced.