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This procedure was realized in one and the same surgery. A 73\u2009year\u2010old\u2010man developed an osteoradionecrosis of the total mandible including both condyles after radiation therapy for a squamous cell carcinoma of the tongue base(cT4aN2bM0G3). A CAD\u2010CAM reconstruction was planned with a plate extended by bilateral individual TMJ prosthesis, individual fossa components and combined with a composite free flap originating from the subscapular vessel system including scapula(circumflex subscapular artery) for reconstruction of the mandibular corpus which was osteotomized in three segments with a resection guide, the parascapular skin paddle (descending branch of circumflex subscapular artery) for compensation of the soft tissue deficiency of the cervical skin and latissimus dorsi muscle(thoracodorsal artery) for the inner mucosal lining and intraoral reconstruction. The subscapular artery was anastomosed to the external carotid artery and two concomitant veins were sutured end\u2010to\u2010side to the internal jugular vein. The patient was discharged without feeding tube and tracheostomy. No complications have been observed after 6 months follow\u2010up. The patient was able to tolerate soft diet and had comprehensible speech. Thus, a total mandibular reconstruction including both condyles using alloplastic and autoplastic reconstruction in one and the same stage is a valid option and may be considered in comparably severe cases.<\/jats:p>","DOI":"10.1002\/micr.30669","type":"journal-article","created":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T09:43:40Z","timestamp":1603705420000},"page":"263-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["One stage microvascular mandible reconstruction by using scapula chimeric flap combined with computer\u2010aided\u2010design and computer\u2010aided\u2010manufacturing plate including bilateral alloplastic <scp>TMJ<\/scp> prosthesis: A case report"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1567-883X","authenticated-orcid":false,"given":"Julie","family":"Chauvel\u2010Picard","sequence":"first","affiliation":[{"name":"Department of Oral and Craniomaxillofacial Surgery Centre Hospitalo\u2010Universitaire Nord  Saint\u2010Etienne France"},{"name":"Jean Monnet University  Saint\u2010Etienne France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kilian","family":"Kreutzer","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Heiland","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kreusch","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Plastic Surgery and Dentistry Head and Neck Center  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Ebker","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedicta","family":"Beck\u2010Broichsitter","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10240"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.25702"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20639"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radonc.2004.08.021"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.1802"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2009.01.022"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2008.03.002"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2009.04.006"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30040"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200109150-00022"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2013.01.043"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(00)80020-8"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cxom.2011.05.001"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.maxilo.2012.02.003"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2011.01.006"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40902-017-0103-7"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2017.08.006"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.06.461"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10006-018-0731-9"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004362"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001391"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00367.x"},{"issue":"7","key":"e_1_2_4_24_1","first-page":"862","article-title":"The scapular osteofasciocutaneous flap: A 12\u2010year experience","volume":"127","author":"Urken M. 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