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2003, Number 3

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Cir Plast 2003; 13 (3)

Free fibula flap for mandibular reconstruction experience

Martínez PJJ, Tamez CRM, Rodríguez CJ, Rangel FJM, Faz EJM
Full text How to cite this article

Language: Spanish
References: 8
Page: 119-122
PDF size: 1675.08 Kb.


Key words:

Free flap, fibula, mandibular reconstruction..

ABSTRACT

Seven cases of mandibular reconstruction carried out after tumoral resection were described; where free fibula flaps were used, between July, 2001 and April, 2002, at the Hospital de Traumatología y Ortopedia No. 21 del IMSS en Monterrey, Nuevo León, México, by the Plastic and Reconstructive Surgery Department. The aesthetic and functional results as well as the complications are described. Six male and 1 female patients were included, between 18 and 47 years old, with mandible primary tumor of different sources. The areas to be reconstructed were: 3 cases of right angle of the mandible, 2 cases of left angle and body and symphysis of the mandible. These patients were monitored between 4 months and a year. The complications were described and functionality, viability and aesthetic contour of the flap were evaluated. To get the best results, a good selection of the patients and the therapeutic options should be done.


REFERENCES

  1. Wei FC, Chen HC, Chang CC. Fibula osteoseptocutaneous flap: anatomic study and clinical applications. Plast Reconst Surg 1986; 78: 191.

  2. Hidalgo DA. Fibula free flap: A new method of mandible reconstruction. Plast Reconstruct Surg 1989; 84: 71.

  3. Takushima A, Harii K. Mandibular reconstruction using microvascular free flaps: A Statistical analysis of 178 cases. Plast Reconstr Surg 2001; 108: 6.

  4. Grabb’s Encyclopedia of Flaps, 2nd ed. , Strauch B, Vazconez LO, Lippincott-Raven,Philadelphia, 1998, Cap. 194, 765-769

  5. Schusterman MA, Reece GP. The osteocutaneous free fibula flap: Is the skinpaddle reliable? Plast Reconstr Surg 1992; 90: 787.

  6. Yonehara Y, Takato T. Large myxofibroma of the mandible treated with segmental mandibular resectionand vascularized fibula graft. Ann Plast Surg 2000; 44(1): 29-35.

  7. Rivas B, Carrillo JF, Granados M. Oromandibular reconstruction for oncological purposes. Ann Plast Surg 2000; 44(1): 29-35.

  8. Hallock GG. The anatomy of the extended peroneal venous system. Plast Reconst Surg 1999; 104(4): 976-983.




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Cir Plast. 2003;13