Technical considerations of fibular osteocutaneous flap dissection

Area of Science:

• Microsurgery
• Plastic Surgery
• Oral and Maxillofacial Surgery

Background:

• The fibula flap is a widely used osteocutaneous free tissue transfer.
• It is particularly well-suited for reconstructing mandibular defects.
• Harvesting the fibula flap can be technically demanding.

Purpose of the Study:

• To describe modifications to the standard fibula flap dissection technique.
• To simplify the dissection of the flap pedicle.
• To maximize the pedicle length for microvascular anastomoses.

Main Methods:

• Modified fibula flap dissection technique.
• Focus on simplifying pedicle dissection.
• Techniques to maximize pedicle length.

Main Results:

• The described modifications simplify fibula flap pedicle dissection.
• Maximized pedicle length is achieved for microvascular anastomoses.
• The modified technique allows for safe and expedient flap elevation.

Conclusions:

• Fibula flap dissection is a reliable method for osteocutaneous free tissue transfer.
• The described modifications enhance the safety and efficiency of fibula flap harvesting for mandibular reconstruction.
• This technique is a valuable option for complex reconstructive challenges.