Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects using a vascularized free fibular flap. The mandible was resected for ameloblastoma in 4 cases, squamous cell carcinoma in 1 case, odontogenic keratocysts in 3 cases and ossifying fibroma in 2 cases. The type of reconstruction performed was primary in 9 patients in which osseous fibula flap was used and secondary in 1 patient in which osseocutaneous flap was used. Results: There were 10 patients which include 5 males and 5 females within age group of 20 to 50 years with mean age of 35 years. All flaps survived except in 1 patient who had donor site morbidity. Flap perfusion was seen immediately after anastomosis and was maintained throughout the follow-up period of minimum 6 months. All patients were kept in nasogastric feeding for 5 days and then began oral feeding and walking with some aid in 2nd week and became completely ambulant in 4th week postoperatively. Conclusion: In our study, we conclude that vascularized free fibula flap is a versatile option for reconstruction of large mandibular defects with its good quality and quantity of bone and ease of manipulation to restore the original anatomy of the mandible and permit implant based prosthetic rehabilitation.
| Published in |
Journal of Surgery (Volume 2, Issue 6-1)
This article belongs to the Special Issue Craniofacial Surgery |
| DOI | 10.11648/j.js.s.2014020601.11 |
| Page(s) | 1-5 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2014. Published by Science Publishing Group |
Fibula Reconstruction, Ameloblastoma, Odontogenic Keratocysts
| [1] | Aydin a, emekli u, ere m, hafiz g. Fibula free flap for mandibular reconstruction. Kulak burun bogaz ihtis derg 2004; 13:62-6. |
| [2] | Douglas ar, ariyan s, restifo r: use of the operating microscope and loupes for head and neck free microvascular tissue transfer: arch otolaryngol head neck surg 2003: 129. |
| [3] | Rosenthal e, carroll w, dobbs m, wax m, peters g. Simplifying head and neck micro-vascular reconstruction. Head neck 2004; 26:930-6. |
| [4] | Hidalgo da, rekow a. Review of 60 consecutive fibula free flaps for mandible reconstruction. Plast reconstr surg 1995; 96:585-96;discussion 597-62 |
| [5] | Hidalgo da. Fibula free flap: a new method for mandible reconstruction. Plast reconstr surg 1989; 84:71-9. |
| [6] | Dean ad, casapi n, regev e, zeltser r: reconstruction of the mandible by fibula free flap: imaj 2002;4:600-602 |
| [7] | Blackwell ke: donor site evaluation for fibula free flap transfer: american journal of otolatyngology 1998;19: 89-95 |
| [8] | Daniel tr, thomas r, bell th, neligan pc. Functional outcome of the foot and ankle after free fibula graft. Foot ankle int 2005; 26:597-601 |
| [9] | Stephen s, mark a , gregory p, michael j, gregory rd, geoffrey l : choice of flap and incidence of free flap success: american society of plastic surgeons 1996: 98 : 459-463. |
| [10] | Smolka k, kraehenbuehl m, eggensperger n: fibula free flap reconstruction of the mandible in cancer patients: evaluation of a combined surgical and prosthodontic treatment concept: oral oncol 2007:10:10-16. |
| [11] | Nicolic z, jeremic j, milosavjevic r. [use of free microvascular flaps in the management of the head and neck defects]. Vojnsanit pregl 2006; 63:713-20. Serbian |
| [12] | Sieg p, zieron jo, bierwolf s, hakim sg : defect-related variations in mandibular reconstruction using fibula grafts: british journal of oral and maxillofacial surgery 2002: 40, 322–329 |
| [13] | Hoffmann j, ehrenfeld m, hwang s, schwenzer n: complications after microsurgical tissue transfer in the head and neck region: journal of cranio-maxillofacial surgery 1998: 26: 255-259. |
| [14] | Hasse ps, zimmermann ce: versatility of vascularized fibula and soft tissue graft in the reconstruction of the mandibulofacial region: int j oral maxillofac surg 1999; 28:356-361. |
| [15] | Joseph jd, richard mw, hidalgo da: long term evaluation of bone mass in free fibula flap mandible reconstruction: the ajos 1997: 174. |
| [16] | Militsakh o, mohyuddin n, kriet dj: comparison of radial forearm with fibula and scapula osteocutaneous free flaps for oromandibular reconstruction: arch otolaryngol head neck surg. 2005;131:571-575. |
| [17] | Wolff kd, ervens g, herzog k, hoffmeister b: experience with the osteocutaneous fibula flap: an analysis of 24 consecutive reconstructions of composite mandibular defects: j cranio-maxillofacial surgerv 1996 24, 330-338 |
| [18] | Wolff kd, holzle f, eufinger h: the radial forearm flap as a carrier for the osteocutaneous fibula graft in mandibular reconstruction: int j oral maxillofac surg 2003; 32: 614–618. |
| [19] | Neal df, wadsworth jt, villaret d, farwell dg : midface reconstruction with the fibula free flap: arch otolaryngol head neck surg. 2002;128:161-166 |
| [20] | Garrett a, ducic y, athre rs, motley t, carpenter b. Evaluation of fibula free flap donor site morbidity. Am j otolaryngol 2006; 27:29-32. |
| [21] | Babovic s, jhonson ch, finical sj. Free fibula donor-site morbidity: the mayo experience with 100 consective harvests. J reconstr microsurg 2000; 16:107-10. |
| [22] | Anthony jp, rawnsley jd, benhaim p, ritter ef, sadowsky sh, singer mi. Donor leg morbidity and function after fibula free flap mandible reconstruction. Plast reconstr surg 1995; 96: 146-52. |
| [23] | Foster rd, anthony jp, sharma a, pogrel ma. Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head neck 1999; 21:66-71. |
APA Style
Mohammad Akheel, Suryapratap Singh Tomar, Anuj Bhargava. (2014). Vascularized Free Fibula Flap for Reconstruction of Mandibular Defects. Journal of Surgery, 2(6-1), 1-5. https://doi.org/10.11648/j.js.s.2014020601.11
ACS Style
Mohammad Akheel; Suryapratap Singh Tomar; Anuj Bhargava. Vascularized Free Fibula Flap for Reconstruction of Mandibular Defects. J. Surg. 2014, 2(6-1), 1-5. doi: 10.11648/j.js.s.2014020601.11
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Download@article{10.11648/j.js.s.2014020601.11,
author = {Mohammad Akheel and Suryapratap Singh Tomar and Anuj Bhargava},
title = {Vascularized Free Fibula Flap for Reconstruction of Mandibular Defects},
journal = {Journal of Surgery},
volume = {2},
number = {6-1},
pages = {1-5},
doi = {10.11648/j.js.s.2014020601.11},
url = {https://doi.org/10.11648/j.js.s.2014020601.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2014020601.11},
abstract = {Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects using a vascularized free fibular flap. The mandible was resected for ameloblastoma in 4 cases, squamous cell carcinoma in 1 case, odontogenic keratocysts in 3 cases and ossifying fibroma in 2 cases. The type of reconstruction performed was primary in 9 patients in which osseous fibula flap was used and secondary in 1 patient in which osseocutaneous flap was used. Results: There were 10 patients which include 5 males and 5 females within age group of 20 to 50 years with mean age of 35 years. All flaps survived except in 1 patient who had donor site morbidity. Flap perfusion was seen immediately after anastomosis and was maintained throughout the follow-up period of minimum 6 months. All patients were kept in nasogastric feeding for 5 days and then began oral feeding and walking with some aid in 2nd week and became completely ambulant in 4th week postoperatively. Conclusion: In our study, we conclude that vascularized free fibula flap is a versatile option for reconstruction of large mandibular defects with its good quality and quantity of bone and ease of manipulation to restore the original anatomy of the mandible and permit implant based prosthetic rehabilitation.},
year = {2014}
}
TY - JOUR T1 - Vascularized Free Fibula Flap for Reconstruction of Mandibular Defects AU - Mohammad Akheel AU - Suryapratap Singh Tomar AU - Anuj Bhargava Y1 - 2014/06/14 PY - 2014 N1 - https://doi.org/10.11648/j.js.s.2014020601.11 DO - 10.11648/j.js.s.2014020601.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 1 EP - 5 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.s.2014020601.11 AB - Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects using a vascularized free fibular flap. The mandible was resected for ameloblastoma in 4 cases, squamous cell carcinoma in 1 case, odontogenic keratocysts in 3 cases and ossifying fibroma in 2 cases. The type of reconstruction performed was primary in 9 patients in which osseous fibula flap was used and secondary in 1 patient in which osseocutaneous flap was used. Results: There were 10 patients which include 5 males and 5 females within age group of 20 to 50 years with mean age of 35 years. All flaps survived except in 1 patient who had donor site morbidity. Flap perfusion was seen immediately after anastomosis and was maintained throughout the follow-up period of minimum 6 months. All patients were kept in nasogastric feeding for 5 days and then began oral feeding and walking with some aid in 2nd week and became completely ambulant in 4th week postoperatively. Conclusion: In our study, we conclude that vascularized free fibula flap is a versatile option for reconstruction of large mandibular defects with its good quality and quantity of bone and ease of manipulation to restore the original anatomy of the mandible and permit implant based prosthetic rehabilitation. VL - 2 IS - 6-1 ER -
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