IS THE DONOR SITE MORBITY AFTER FIBULA FLAP HARVEST FOR MANDIBULAR RECONSTRUCTION REALLY LIMITING? 13 OF SURGICAL POST.

Autor: SASSI, Laurindo Moacir, DISSENHA, José Luis, GUEBUR, Maria Isabela, ZANFERRARI, Fernando L, PEDRUZZI, Paola A.G., da SILVA, Alfredo B., PATUSSI, Cleverson
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe232-e232, 1p
Abstrakt: The study aimed to demonstrate the physical capabilities of a patient following the removal of their fibula. This patient had undergone the resection of the body and ascending ramus of the mandible due to a diagnosed bone lesion, specifically ameloblastoma. To reconstruct the affected area, microvascularized fibular flaps (FMR) were employed. In the anterior region, a niche was created within the mandible's stump, allowing for the introduction of the end of the fibula, which was securely fixed using titanium mini-plates. Following the surgery, the patient was released for physiotherapy and displayed remarkable progress, resuming activities such as walking and running. Notably, the patient even participated in a 42km marathon only 19 months after the surgery. This case involved a 39-year-old female patient, NMM, who had ameloblastoma in the body and left ascending ramus of the mandible. The tumor was successfully resected, and immediate reconstruction with FMR was performed, resulting in both functional and aesthetic restoration. Importantly, full function recovery of the flap donor leg was achieved, emphasizing the importance of encouraging the patient to return to their normal life. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index