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Oromandibular reconstruction using a fibula osteocutaneous free flap: four different "preplating" techniques
Claudio Marchetti1, Alberto Bianchi, Simona Mazzoni
1Department of Maxillofacial Surgery, S. Orsola Hospital, Bologna, Italy. claudio.marchetti@bo.nettuno.it
Plastic and Reconstructive Surgery
|August 26, 2006
Summary
The preplating technique, combined with fibula free flaps, effectively restores mandibular form and function after resection. This method offers a predictable solution for oromandibular reconstruction, improving patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Oromandibular reconstruction aims to restore morphology and function after resection.
- Fibula osteocutaneous free flaps with preplating are utilized for this purpose.
Purpose of the Study:
- To report the experience and outcomes of using the preplating technique for oromandibular reconstruction.
Main Methods:
- The preplating technique was applied to 18 patients between 1998 and 2003.
- Variations included vestibular, lingual, and double preplating techniques based on tumor involvement.
- Luhr's approach was used in one case.
Main Results:
- Accurate reconstruction of the inferior mandibular border achieved good cosmetic results.
- Mandible continuity was restored, enabling functional rehabilitation.
- Anchoring muscles to the titanium plate facilitated good occlusal and functional recovery.
Conclusions:
- The preplating technique, when used with fibula microvascular free flaps, is a reliable and predictable method.
- This approach successfully reconstructs the oromandible, restoring form and function.