Modifications of mandibular reconstruction with free fibular flap
- VernacularTitle:血管化腓骨肌瓣移植重建下颌骨缺损的外科改良
- Author:
Chuanjun CHEN
;
Xiaoliang WU
;
Zuwu ZHU
- Publication Type:Journal Article
- Keywords:
Mandible;
Plasty and reconstruction;
Fibular flap;
Flap harvesting;
Bone flap shaping
- From:
Journal of Practical Stomatology
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To present a modified method for harvesting and shaping fibular flap in reconstruction of mandibular defect. Methods: Fibula flap harvesting was performed under non-blood-evacuation of the donor limb and two gaps were made at the upper and lower ends of the fibular flap during the flap harvesting. Step-like osteotomy was performed to obtain 3 segments(each segment was 3~5 cm in length) of fibular bone. The shaping was achieved by fitting the bone segments together based on the natural contour of the mandible. The modified operation was conducted in 7 patients for mandibular reconstruction. Results:The method was successfully used in all patients with less bleeding during the flap harvesting and after reconstruction.The bone segments were rigidly fixed with good bony consolidation and contour. No complications occurred.Conclusion: The modified fibular flap harvesting method is feasible in mandible reconstruction.
