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[Mandibular reconstruction by free transfer of the fibula after cancer excision]
F Boutault1, J P Chavoin, E Paty
1Service de Stomatologie et de Chirurgie Maxillo-Faciale, Hôpital Rangueil, Toulouse.
Abstract:
The authors present five cases of mandibular reconstruction using a vascularised fibula free transfer in cases of mandibulectomy for cancer. After giving a short account on the anatomy, they describe the technical details of fibula preparation and its transfer at the recipient site. The clinical observations are described. This recent technique seems to be developing, taking in account the qualities of the fibula: available bone length, possibility of performing osteotomies with preservation of the vascular supply, low morbidity at the level of the donor site, and satisfactory cosmetic and functional results. Despite of one recent failure, this short series seems to confirm the great interest in this type of bone reconstruction.