We report a case of vascularised fibula osteocutaneous flap used for composite cervical spinal and posterior pharyngeal wall reconstruction, in a patient with recurrent skull base chordoma, resected by an anterior approach via median labio-mandibular glossotomy approach. Bone stability and pharyngeal wall integrity were simultaneously restored.
Keywords: Free fibula flap; cervical spinal reconstruction; head and neck reconstruction; mandibulotomy approach; skull base chordoma.