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Related Experiment Videos

[Mandibular reconstruction by a free peroneal transfer].

P Menard1, M A Germain, A M Kapron

  • 1Service de Stomatologie et de Chirurgie maxillo-faciale, Hôpital Ambroise Paré, Boulogne.

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|January 1, 1992
PubMed
Summary

The osteo-septocutaneous fibular flap effectively reconstructs mandible defects, offering advantages like a two-team approach and good soft-tissue support. This technique shows no long-term donor-site morbidity in patients.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Mandibular defects pose significant reconstructive challenges, often requiring complex surgical solutions.
  • The osteoseptocutaneous fibular flap, first described by Hidalgo in 1989, is a versatile option for segmental mandible reconstruction.

Observation:

  • Four cases of segmental mandible reconstruction using the osteoseptocutaneous fibular flap are presented.
  • Indications included defects from epidermoid carcinoma, ameloblastoma, and war injury, with associated soft-tissue loss.
  • All flaps demonstrated successful survival and provided adequate soft-tissue coverage.

Findings:

  • The osteoseptocutaneous fibular flap offers several advantages, including a two-team surgical approach facilitated by tourniquet use.

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  • Its robust blood supply supports skin islands for intra- or extraoral reconstruction.
  • The fibula's biomechanical properties allow miniplate fixation, obviating the need for postoperative intermaxillary fixation.
  • Implications:

    • This flap is a reliable and advantageous option for complex mandibular reconstructions.
    • It facilitates dental rehabilitation with osteointegrated implants.
    • The procedure demonstrates minimal long-term donor-site morbidity, enhancing patient outcomes.