Typically, in cases of head and neck cancer with bone defects, plastic surgeons commonly employ fibular osteocutaneous free flap for reconstruction. We introduced a novel approach to address bone defects in head and neck cancer patients. Specifically, we utilized bone cement in a patient who underwent anterolateral thigh free flap surgery following tumor wide excision and segmental mandibulectomy due to recurrent left buccal cancer.

During the procedure, the bone cement was immersed in a solution containing Cefazolin and Gentamycin, then molded into a cylindrical shape with the assistance of a Penrose drain tube. After anastomosis of the arteries and veins, we filled the space of the bone defect with the bone cement, ensuring proper alignment. Throughout the patient's hospital stay, there were no complications observed at the donor or recipient sites. Additionally, the patient expressed high satisfaction with his facial appearance.

Although the treatment plan was ongoing, and final conclusions about its efficacy could not yet be drawn, there were no significant complications during the one-month follow-up. This innovative approach to head and neck cancer reconstruction could potentially serve as a viable alternative for these patients, especially considering the higher occurrence of donor site complications associated with the fibular osteocutaneous free flap technique.

However, the number of cases treated with this method remains limited, preventing definitive conclusions. Further comprehensive studies are warranted in the future to validate the effectiveness and safety of this approach.