Reconstruction of mandible with fibula free flap

The fibula can be used as a donor for a free flap for mandible reconstruction. It has the advantages of low donor site morbidity, consistent shape, ample length, and distant location to enable a two‐team approach, allowing multiple osteotomies because of its periosteal circulation. It can be raised...

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Bibliographic Details
Published in:Microsurgery 1998, Vol.18 (3), p.156-159
Main Authors: Celebioglu, Seli·m, Unlu, Ramazan Erki·n, Kocer, Ugur, Sensoz, Omer, Mengi·, A Si·na
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Bone Transplantation
Female
Fibula - transplantation
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Mandibular Neoplasms - surgery
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Osteotomy
Reconstructive Surgical Procedures
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
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Summary:The fibula can be used as a donor for a free flap for mandible reconstruction. It has the advantages of low donor site morbidity, consistent shape, ample length, and distant location to enable a two‐team approach, allowing multiple osteotomies because of its periosteal circulation. It can be raised with a skin island for composite tissue reconstruction. Eight segmental mandibular defects (average 11.62 cm) were reconstructed following resection for tumour. Six defects consisted of bone alone and the other two had only a small amount of associated intraoral soft‐tissue loss. Two patients underwent primary reconstruction. We performed two or three osteotomies on each graft and used miniplates and wires for bone fixation. The flaps survived in all patients. All osteotomy sites healed primarily. The aesthetic result of reconstruction was satisfactory. © 1998 Wiley‐Liss, Inc. MICROSURGERY 18:156–159 1998
ISSN:0738-1085
1098-2752
DOI:10.1002/(SICI)1098-2752(1998)18:3<156::AID-MICR4>3.0.CO;2-J