Donor side selection in mandibular reconstruction using the free fibular osteocutaneous flap.

Author: Chi MAO ¹ ; Guang-Yan YU ; Xin PENG
Author Information

1. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China. maochicn2000@yahoo.com.cn
Publication Type:Journal Article
MeSH: Adolescent; Adult; Aged; Aged, 80 and over; Algorithms; Child; Female; Fibula; transplantation; Humans; Male; Mandible; surgery; Middle Aged; Reconstructive Surgical Procedures; Retrospective Studies; Surgical Flaps; Young Adult
From: Chinese Journal of Stomatology 2007;42(11):684-686
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo form algorithm to select the correct donor side in mandibular reconstruction using free fibular flap.
METHODSSix hundred and two consecutive cases of mandibular reconstruction using free fibular flap from May of 1999 to April of 2007 were reviewed.
RESULTSThere were 424 cases in type I, 71 cases in type II, 63 cases in type III, and 44 cases in type IV. Eighteen flaps experienced vessel thrombosis after operation. The overall successful rate of free fibula flap was 98.3%.
CONCLUSIONSClose attention to both the geometric locations of vascular pedicles and skin paddles facilitates correct selection of fibula donor side.