(D) Postoperative panoramic radiograph showing bone plate in place. After allowing 6 to 8 weeks for healing of the oral soft tissues, mandibular reconstruction was undertaken. (E) A rib with some of the costal cartilage attached to one end and particulate bone from the ilium were obtained. (F) The condylar prosthesis was removed from the end of the bone plate, and the body of the rib was grooved and placed into the glenoid fossa, surrounding the bone plate. (G) The mandibular ramus and posterior body were reconstructed by packing particulate bone into the defect. (H) Panoramic radiograph taken 6 months later shows good consolidation of the graft.