Related Experiment Video
Updated: Jul 13, 2026
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Pediatric mandibular reconstruction using a vascularized fibula flap.
Melissa A Crosby1, Jack W Martin, Geoffrey L Robb
1Department of Plastic Surgery, The University of Texas M D Anderson Cancer Center, Houston, Texas, USA.
Head & Neck
|August 10, 2007
Summary
Mandibular reconstruction using vascularized fibula flaps in children promotes normal growth and function. This technique shows promising results with minimal impact on facial development.
Area of Science:
- Pediatric surgery
- Oral and maxillofacial surgery
- Regenerative medicine
Background:
- Mandibular defects in children pose challenges for growth and function.
- Vascularized fibula flaps are a reconstructive option, but their impact on skeletal development requires evaluation.
Purpose of the Study:
- To assess the functional outcomes of mandibular reconstruction with vascularized fibula flaps in skeletally immature patients.
- To evaluate the effect of this reconstruction on facial growth and development.
Main Methods:
- Retrospective evaluation of eleven pediatric patients (≤14 years) undergoing mandibular reconstruction with free fibula flaps.
- Assessment included radiographic analysis (Panorex) and functional outcome evaluation at a mean follow-up of 3.4 years.
Main Results:
- Good bone union and expected growth observed in all patients post-reconstruction.
- Normal functional outcomes and gait were achieved, with no need for corrective orthognathic surgery.
- Minor donor-site morbidities (toe flexion contracture, valgus deformity) were noted, but leg length was unaffected.
Conclusions:
- Vascularized fibula flaps support appropriate mandibular growth in pediatric patients.
- This reconstructive method minimally disturbs midface growth patterns, offering a viable solution for pediatric mandibular defects.