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Mandibular reconstruction using a 'parasitic' flap

I Camilleri1, G R Wilson, N R McLean

  • 1Department of Plastic and Reconstructive Surgery, Newcastle General Hospital.

The British Journal of Oral & Maxillofacial Surgery
|December 1, 1994
PubMed
Summary
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This study presents a novel technique for reconstructing large jaw defects using a combined fibular bone and radial fasciocutaneous flap. This innovative approach offers a viable solution for complex mandibular reconstruction challenges.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic and Reconstructive Surgery
  • Microsurgery

Background:

  • Large mandibular defects pose significant reconstructive challenges.
  • Free vascularized bone grafting is a common method for mandibular reconstruction.
  • Combining bone and soft tissue flaps can improve functional and aesthetic outcomes.

Observation:

  • A 17 cm free vascularized fibular bone graft was utilized.
  • The fibular graft was anastomosed to a radial fasciocutaneous flap in the forearm.
  • The combined flap was then transferred and revascularized in the neck.

Findings:

  • Successful reconstruction of a large mandibular defect was achieved.
  • The combined flap technique facilitated simultaneous bone and soft tissue restoration.

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  • The vascularized graft ensured graft survival and integration.

    • Implications:

    • This technique offers a viable solution for complex mandibular reconstructions.
    • It highlights the versatility of free vascularized flaps in head and neck surgery.
    • Further studies can explore long-term outcomes and patient satisfaction.