Extensive involvement of the mandible with sclerosis secondary to the rare
genetic disorder, osteopetrosis, is a difficult reconstructive problem. It
is typically refractory to conservative management or local surgical method
s because of vascular compromise of the bone. For this reason, total resect
ion of all involved bone with microvascular graft reconstruction is an idea
l method for mandibular reconstruction in osteopetrosis that has not been p
reviously reported.