Discovering the abstruse: reverse marginal mandibulectomy

Tumours involving the bones of maxillofacial region requires elaborate surgical skills and experience for managing the complexity. Treatment planning majorly depends on the extent of bone involvement, type of erosion and involvement of para mandibular soft tissue. Pertaining to mandible in this paper, marginal and segmental mandibulectomies are the predominant options which are oncologically safe practices done by surgeons. Here we report a case of a patient, who was treated with technique of reverse marginal mandibulectomy. He had a unique presentation of tumour abutting the lower border of mandible with the erosion limited to the outer cortex along with a huge extra nodal growth. This sparsely used technique was performed post neoadjuvant chemotherapy followed by microvascular reconstruction. We intend to draw attention to this hermetic technique as an oncological safe and reliable alternative for a specific group of patients.