The use of free fibular flap for functional mandibular reconstruction
| Autor: | Yitzhak Lipin, Imad Abu El-Naaj, Leon Ardekian, Micha Peled |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Oral Surgical Procedures Mandible Free flap Surgical Flaps Ameloblastoma Avulsion medicine Humans Fibula Mandibular reconstruction Aged Retrospective Studies Fibular flap Surgical team Bone Transplantation business.industry Dental Implantation Endosseous Graft Survival Dental prosthesis Middle Aged Plastic Surgery Procedures Surgery Mandibular Neoplasms Osteoradionecrosis Otorhinolaryngology Carcinoma Basal Cell Carcinoma Squamous Cell Female Dental Prosthesis Implant-Supported Oral Surgery business |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 63:220-224 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2004.06.052 |
| Popis: | Purpose The purpose of this investigation is to document our experience using the free vascularized fibular flap for comprehensive reconstruction of discontinuity defects in the mandible, after combined resections of malignant and aggressive odontogenic tumors, with special emphasis on functional aspect of the reconstruction process. Materials and methods The study group consisted of consecutive patients treated for reconstruction of discontinuity defects of the mandible, using the fibular vascularized free flap, between 1997–2002. All procedures were performed in the same hospital and by the same surgical team. Results A total of 13 patients (9 males, 4 females) were treated in our department in a period of 6 years for reconstruction of discontinuity mandibular defects using the free fibula vascularized flap. Wound healing disturbances at the donor site occurred in 4 cases. Two flaps were lost, 1 because of total failure in a patient who was heavily irradiated because of osteosarcoma, the other because of resorption of the bone tissue transfer in a case of total avulsion of the mandible caused by a fall from height. Conclusion Fibula free vascularized flap is a safe and reliable method for comprehensive functional and esthetic mandibular defect reconstruction. Our protocol has a significant impact on preserving the patient’s quality of life. |
| Databáze: | OpenAIRE |
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