Nowadays it is well known that microsurgical mandibular reconstruction with fibula transplants is a reliable therapeutic method, but still some complications arise and the results are sometimes, not so perfect as planned. Both distraction osteogenesis and orthognatic corrective surgery (osteotomies) as represented by a case report, are good complementary methods. Nevertheless, more emphasis should be placed during initial planning and first reconstructive surgery.

Conflict of interest: None declared.