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Mandibular reconstruction using vascularised fibula.

A F Flemming1, M D Brough, N D Evans

  • 1Department of Plastic and Reconstructive Surgery, University College Hospital, London.

British Journal of Plastic Surgery
|July 1, 1990
PubMed
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The osteocutaneous fibula flap effectively reconstructs large mandible defects after cancer or radionecrosis ablation. This versatile technique provides bone, lining, and skin cover, with successful patient outcomes reported.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Oncology

Background:

  • Mandibular defects often result from cancer ablation or radionecrosis.
  • Reconstruction of large mandibular segments presents significant challenges.
  • The osteocutaneous fibula flap is a potential solution for complex reconstructions.

Purpose of the Study:

  • To describe the technique of osteocutaneous fibula flap for mandibular reconstruction.
  • To report the successful application of this technique in a series of patients.
  • To detail the complications encountered during the procedure.

Main Methods:

  • Utilizing the osteocutaneous fibula flap for mandibular reconstruction.
  • Shaping the fibula bone to match the defect.

Related Experiment Videos

  • Employing the fasciocutaneous component for soft tissue coverage or lining.

    • Main Results:

    • Successful reconstruction of large mandibular segments in seven patients.
    • Demonstrated versatility in providing both bony and soft tissue components.
    • Complications encountered were documented.

    Conclusions:

    • The osteocutaneous fibula flap is a viable and successful method for reconstructing extensive mandibular defects.
    • The flap's dual functionality (bone and soft tissue) simplifies complex reconstructions.
    • Careful technique and awareness of potential complications are crucial for optimal outcomes.