Related Experiment Video
Updated: Aug 8, 2026
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Donor side selection in mandibular reconstruction using a free fibular osteocutaneous flap
Shunjiro Yagi1, Yuzuru Kamei, Shuhei Torii
1Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. yagishun@med.nagoya-u.ac.jp
Annals of Plastic Surgery
|May 25, 2006
Summary
This study introduces an algorithm for selecting the donor side for free fibular osteocutaneous flaps in mandibular reconstruction. Careful consideration of flap geometry improves surgical outcomes and donor site selection.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Microsurgery
Background:
- Mandibular reconstruction using free fibular osteocutaneous flaps is crucial but technically challenging.
- Precise positioning of the bone, skin island, and vascular pedicle is critical for successful flap integration.
Observation:
- A retrospective analysis of 15 mandibular reconstructions using free fibular osteocutaneous flaps was conducted.
- Procedures were classified into four types based on flap laterality, skin island fixation, and vascular pedicle origin.
- Flap survival rates were high, with one case of partial necrosis in Type II.
Findings:
- An algorithm for donor-side selection of free fibular osteocutaneous flaps was developed.
- Type I: ipsilateral flap, oral fixation, anterior pedicle (n=5).
- Type II: contralateral flap, oral fixation, posterior pedicle (n=5).
- Type III: contralateral flap, facial fixation, anterior pedicle (n=4).
- Type IV: ipsilateral flap, facial fixation, posterior pedicle (n=1).
Implications:
- Understanding the geometric characteristics of free fibular osteocutaneous flaps is essential for successful mandibular reconstruction.
- The proposed algorithm aids in optimizing donor-side selection, potentially improving surgical planning and outcomes.
- This approach facilitates the reliable reconstruction of complex mandibular defects.