The process of reconstruction in the maxillofacial region, not just about restoring the anatomical structures in need, but also to restore function on an anatomical structure with new elements and new biomechanics. This situation is found in patients undergoing procemidientos as condilectomy, joint replacement and reconstruction with rotational muscle flap temporary. It is these types of treatment the recuperation mandibular mobility is affected significantly, and it is here where post surgery physiotherapy management should establish appropriate times and with proper therapy.

Objective: To present a management protocol physiotherapy which was built with a detailed initial review of the movements at the degrees of mandibular dynamics and limitations of all patients who have undergone surgical reconstruction of the maxillofacial region.

Materials and methods: The protocol is applied in three patient groups (condilectomy, joint replacement and reconstruction with a rotational flap of temporal muscle) undergoing various types of reconstruction maxillofacial all applies a pattern of pre and post surgical evaluation immediately depending on the type of surgery and post surgical kinetic results determining the type and physiotherapy treatment later, the protocol includes items such as ultrasonic, ultratherm and eventually use nerve blocks to ejersicion of eleongacion.

Results: In all three groups of patients received a dynamic rehabilitation of the mandible in a period not exceeding 35 days.

Conclusions: The criteria as degree of mobility limitation, pain and propiosepcion are taken into account in giving yourselves to each optimal patient protocol therapy for each case.

Conflict of interest: None declared.