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Bilateral mandibular angle reconstruction with a single free vascularized fibula flap
H Reychler1, J Iriarte Ortabe, F Lambert
1Department of Oral and Maxillofacial Surgery, Saint-Luc University Hospital, Brussels, Belgium.
Plastic and Reconstructive Surgery
|April 1, 1997
Summary
This study details the first bilateral mandibular angle reconstruction using a single fibula free vascularized flap. This innovative technique offers a new approach for complex mandibular reconstructions.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Microsurgery
Background:
- Mandibular defects often require complex reconstruction.
- Free vascularized flaps are a cornerstone of reconstructive surgery.
- Fibula free flaps offer robust bone stock for reconstruction.
Observation:
- A novel application of the fibula free vascularized flap for bilateral mandibular angle reconstruction is presented.
- The unique vascular supply of the fibula flap facilitated precise osteotomies and ostectomy.
- This technique allowed for functional reconstruction of the mandible.
Findings:
- Successful bilateral mandibular angle reconstruction was achieved with a single fibula free vascularized flap.
- The fibula flap demonstrated versatility in accommodating both osteotomies and ostectomy.
- This represents the first report of this specific application.
Implications:
- This case expands the reconstructive potential of the fibula free flap in complex head and neck defects.
- It offers a viable option for surgeons managing bilateral mandibular angle defects.
- Further research may explore the long-term functional and aesthetic outcomes.