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Updated: Sep 24, 2025
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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
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Reverse blood flow as an option in mandibular reconstruction using a two-segment fibula free flap
P Šín1, A Hokynková1, Z Daněk2
1Department of Burns and Plastic Surgery, University Hospital Brno, Brno, Czech Republic; Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Summary
This study introduces a reverse flow technique for mandibular reconstruction using fibula free flaps. This innovative method enables two independent vascularized fibula segments for complex head and neck defects.
Area of Science:
- Microsurgery
- Head and Neck Surgery
- Orthopedic Reconstruction
Background:
- Microsurgical reconstruction is a primary method for head and neck defects.
- Mandibular reconstruction often involves fibula free flaps.
Purpose of the Study:
- To present a novel reverse flow technique for mandibular reconstruction.
- To describe the application of this technique in a patient with bilateral pseudoarthrosis.
Main Methods:
- Utilized a reverse flow technique in mandibular reconstruction.
- Employed two segments of fibula free flap.
- Incorporated a venous graft to create independent vascular supply for each fibula segment.
Main Results:
- Successfully reconstructed mandibular defects using two vascularly independent fibula segments.
- Demonstrated the feasibility of reverse flow in fibula free flaps for mandibular reconstruction.
Conclusions:
- The reverse flow technique offers a viable alternative for mandibular reconstruction.
- This method enhances the success of microsurgical procedures in specific head and neck cases.
