Table 2.

A table summarising the advantages and disadvantages of some common autologous reconstructive options.

Reconstruction	Advantages	Disadvantages
Non-Vascularised	-Appropriate calibre and shape	-Unpredictable growth
-Costochondral	-Adaptable bone	-Late asymmetry/facial deformity
	-Can be harvested with cartilaginous cap	-Resorption or heterotrophic bone
	-Low donor site morbidity	-Increased risk of ankylosis in adults
	-Potential for growth	-Donor site risk of pneumothorax
-Sterno-clavicular	-Composite osseo-chondral tissue	-Limited long term outcome data
	-Histologically similar to condyle	-Significant donor site morbidity that can affect shoulder function
-Iliac Crest		-Obvious scar
	-Good quality bone stock	-Donor site complications e.g. hernia
	-Well established harvesting technique	-No cartilaginous tissue
		-Limited thickness of bone
-Calvarium	-Minimal functional effect at donor site	-Bone only graft
Vascularised	-Good quality and appropriate calibre bone stock	-No cartilaginous tissue
-Fibula	-Reliable segmental blood supply	-Requires intra-operative shaping to create condylar morphology and vertical height
	-Low functional donor site morbidity	-Limited length of bone
	-Long term outcome data	-Short pedicle
-Descending circumflex Iliac artery (DCIA) free flap	-Good quality and ample bone stock	-Donor site morbidity
	-Micro-surgically reliable	-Thin bone without segmental supply
-Scapular	-Versatile flap with options for chimerism and a variety of soft tissue connotations	-Intra-operative patient positioning restrictions