The advent of microvascular free tissue transfer has revolutionized oromandibular reconstruction. The combination of osseocutaneous or osseomyogeneous free flaps in addition to advances in instrumentation with locking screw technology and low profile plates has greatly improved the functional and cosmetic outcomes for patients with mandibular defects [1]. Despite these advances, hardware complications remains a significant challenge with roughly 15% of patients experiencing hardware related complications [2].
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