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[Fibula free flap for reconstruction of extensive mandibular osteoradionecrosis]
A Bozec1, G Poissonnet, S Converset
1Département d'Oto-Rhino-Laryngologie et de Chirurgie Carcinologique de la Face et du Cou, Centre Antoine Lacassagne, 33 avenue de Valombrose, 06189 Nice Cedex. alex.bozec@freesbee.fr
Objective:
Treatment of mandibular osteoradionecrosis is always a therapeutic challenge. The aim of this article is to evaluate the interest of fibula free flap for mandible reconstruction after radical excision of osteoradionecrotic lesions.
Material And Methods:
Six consecutives cases of extensive osteoradionecrosis of the mandible were treated with fibula free flap reconstruction. We report a meticulous analysis of the cosmetic and functional results.
Results:
All vascularized fibula osteocutaneous flaps transplanted were successful. Median hospital stay was 32 days. At 6 months, functional results (swallowing, mouth opening and speech) were good. All patients had sufficient oral intake and a comprehensible speech with just two patients requiring a soft diet and 1 patient retaining a moderate trismus.
Discussion:
Extensive mandibular osteoradionecrosis requires a radical surgical treatment. Fibula free flap is the best solution for mandible reconstruction in this situation. This technique allows good functional results.
Conclusion:
Fibula free flap is the method of choice for mandible reconstruction after radical treatment of osteoradionecrosis.