With advancements in the treatment protocol of oral cancer, the survival rate of these patients has dramatically increased. Rehabilitation for people with oral cancer extends beyond orofacial prosthesis reconstruction to include offering comprehensive care by combining specialties. In the diagnosis and treatment of patients, maxillofacial prosthodontists (MFPs) should be a part of the team of consultants. The MFP is an important member of the multidisciplinary team that coordinates the treatment. The prosthodontist must monitor the patient closely. Be conversant with the various hospital protocols and the patient's medical health. He is best qualified to assist the surgeon with prosthetics by making facial moulages and surgical stents to aid recuperation. To improve the prosthesis’ retention, stability, and support, recommendations might be made to preserve tissues or reinforce existing anatomical features. Collaboration with a speech pathologist to learn about the mechanics and physiology of speech can help in the construction of a prosthesis that meets resonance, phonation, and articulation needs.

Introduction: Defects in the mandible or maxilla are usually obtained from broad resections of advanced oral cancer, benign tumors of aggressive clinical course, or accidents. These defects require the replacement of tissue lost by similar characteristics tissue preserving the quality of life of patients through rehabilitation of function and esthetics. This flap provides a greater volume of bone tissue grafts from all bone and generates little morbidity in the donor site is capable of undergoing multiple osteotomies by modeling. This flap provides the greatest amount of bone tissue between all bone grafts; causes little morbidity in the donor area, lending itself also to modeling by osteotomies, allowing its adaptation to any defect. Materials and methods: A retrospective study evaluating the medical records from 1995 to 2014 the medical records of nine patients undergoing reconstructive treatment with flap fibular. Discussion: The reconstruction with microsurgical flap fibular technique used can progress to a partial or total loss of the flap, as well as an esthetic and functional sequel in the recipient area and donor, which varies with the flap selected, this study had no failure of clinical cases. Results: Complications were minimal, there were four (33%) of patients. Conclusion: Complications were of minimal complexity and resolved. There was no flap fibula rejection in any case. This shows that the protocol and the results obtained by the team in reconstructive surgery with osteomyocutaneous fibular graft are within the biological and protocol standards of service.

First bite syndrome (FBS) is considered as a development of pain in the preauricular region triggered by gustatory stimuli. It has been mostly associated with surgery of the parapharyngeal space, parotid gland, and upper neck. This hypersensitivity is thought to elicit a supramaximal contraction of myoepithelial cells during the first bite of a meal that subsides with continued masticatory action. We are reporting a rare case of preauricular pain after first bite of meal that leads to the diagnosis of squamous cell carcinoma invading the trachea and esophagus.