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[Repair of oral maxillofacial defect with free peroneal composite flap]
Chun Xie1, Longjiang Li, Yuming Wen
1Department of Oral Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu Sichuan, 610041, PR China.
Objective:
To evaluate the advantages and disadvantages of vascularized free peroneal composite flaps for reconstruction of oral and maxillofacial defects.
Methods:
From November 1999 to December 2002, 28 cases of oral maxillofacial defects were reconstructed with vascularized free peroneal composite flaps, with fibula-cutaneous flap in 21 cases and with fibula-myocutaneous flap in 7 cases. Three cases received insertion of dental implants into the fibula flap. The flap size was 3.0 cm x 5.5 cm to 8.0 cm x 12.0 cm; the fibula length was 5.5 cm to 16.0 cm.
Results:
Of the 28 flaps reconstructed, 24 survived, 3 necrosed partially and 1 necrosed completely. All the 5 implants survived and achieved good bone integration in 3 cases. Twenty-six cases were followed up 1-36 months with an average of 18.5 months, the facial appearance and the vocal function were satisfactory in 23 cases.
Conclusion:
Vascularized peroneal flap has many advantages and is one of the optimal flaps for reconstruction of oral maxillofacial defects.
