A male patient, an army personnel got lower jaw face injury in a landmine blast. After initial treatment, he was sent to the tertiary care center for his lower face injury. He was diagnosed with a case of loss of skin, soft tissue and central part of lower jaw (mandible). He was operated there multiple times. Multiple skin flaps from chest and face were applied to reconstruct skin and soft tissue defects and bone was taken from the iliac crest, fibula from one leg but all were failed. Then he was referred to our center.

This patient was having a severe facial deformity, loss of central lower jaw. His lower lip was pulled down and attached to neck skin. His mouth opening was incompetent and continuous drooling of saliva was there. He was not able to chew food. He used to take liquid for lying down posture. We operated him and fibula from the un-operated side along with skin and muscle…