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Updated: Jan 26, 2026
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A Morphometric and Cellular Analysis Method for the Murine Mandibular Condyle
Published on: January 11, 2018
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Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases
Sang-Hoon Kang1,2, Sanghoon Lee1, Woong Nam1
11Department of Oral and Maxillofacial Surgery, Yonsei University, College of Dentistry, 50 Yonsei-ro, Seodaemun-gu, Seoul, 03722 Republic of Korea.
Maxillofacial Plastic and Reconstructive Surgery
|April 19, 2019
Summary
Mandibular reconstruction using fibula free flaps (FFF) can lead to condylar dislocation, even without symptoms. Surgeons must carefully consider flap length, fixation, and patient education to minimize this complication.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Mandibular reconstruction using fibula free flap (FFF) is a common procedure.
- Surgical guides designed with simulation surgery are often employed.
Observation:
- Condylar dislocation occurred in 5 patients undergoing mandibular reconstruction with FFF.
- Two cases involved FFF fixed with a reconstruction plate.
- Three cases involved FFF fixed with a mini-plate.
Findings:
- Severe displacement of the mandibular condyle from the glenoid fossa was observed, despite the absence of clinical symptoms.
- The method of fixation (reconstruction plate vs. mini-plate) did not prevent dislocation.
Implications:
- Surgeons need to consider flap characteristics, fixation methods, and patient education to mitigate dislocation risk.
- Customized CAD/CAM temporomandibular condyle-connected plates offer a potential alternative to reduce complications.
- Awareness of potential condylar dislocation is crucial for surgical planning and prognosis.
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