Abstract: Background: Reconstruction of complex three-dimensional defects following composite mandibular resections is a challenge. Dual skin paddle fibula flap, double free flap, chimeric scapula flap, iliac flaps have been described for reconstruction of these defects. The combination of supramalleolar flap along with fibula flap in a chimeric fashion was less explored and its feasibility to use when harvested from an ipsilateral leg was never studied. We aimed to assess this feasibility.