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Jaw reconstruction using vascularized fibular grafts

¹Department of Orthopaedic Surgery, Osaka City University Medical School, Japan.

Osaka City Medical Journal

|July 1, 1994

Summary

Vascularized fibular grafts effectively reconstructed extensive mandible defects after tumor resection, restoring both facial aesthetics and chewing function. This method offers a reliable solution for complex jaw reconstructions.

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Area of Science:

Oral and Maxillofacial Surgery
Plastic and Reconstructive Surgery
Oncology

Background:

Massive mandibular defects, often resulting from tumor resection, pose significant challenges to facial aesthetics and masticatory function.
Conventional bone grafting techniques for large mandibular defects frequently fail due to bone resorption.
Vascularized bone grafts are indicated for reconstructing extensive jaw defects.

Observation:

Two cases of extensive anterolateral mandibular defects were reconstructed using 12 and 13-cm vascularized fibular grafts.
The fibular grafts' properties allowed for a two-dimensional curvature to match the mandible's shape.
The study involved a total of 4 jaw reconstruction cases.

Findings:

Reconstruction of the mandible using vascularized fibular grafts yielded satisfactory aesthetic and functional outcomes.
The fibula's inherent straightness and hardness facilitated precise shaping for the mandibular defect.
This technique proved successful in addressing large anterolateral mandibular defects.

Implications:

Vascularized fibular grafts represent a viable and effective treatment option for extensive mandibular reconstruction.
This approach can significantly improve patient quality of life by restoring facial form and function.
Further application of this technique may enhance outcomes in complex head and neck reconstructions.

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