[논문]Vascularized free fibular flap for mandibular reconstruction: A report of 26 cases

Guerra, Mario F.Muñ; oz; Gí; as, Luis Naval; Campo, Francisco J.Rodrí; guez; Gonzá; lez, Francisco J.Dí; az

doi:10.1053/joms.2001.20482

[해외논문] Vascularized free fibular flap for mandibular reconstruction: A report of 26 cases

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, v.59 no.2, 2001년, pp.140 - 144

Guerra, Mario F.Muñoz (Received from the Department of Oral & Maxillofacial Surgery, University Hospital La Princesa (Autó) , Gías, Luis Naval (noma University), Madrid, Spain) , Campo, Francisco J.Rodríguez (Received from the Department of Oral & Maxillofacial Surgery, University Hospital La Princesa (Autó) , González, Francisco J.Díaz (noma University), Madrid, Spain)

Abstract ▼ AI-Helper

AbstractPurpose: Mandibular reconstruction represents a challenge to the oral and maxillofacial surgeon and has been revolutionized by the modern microvascular techniques. Rehabilitation using techniques such as reconstruction plates frequently produce a functional and cosmetic defect. The primary objective of the current study was to evaluate the usefulness of the osteomuscular free fibular flap for this purpose. Patients and Methods: The results of 26 vascularized free fibula flaps with or without a skin paddle that were used for mandibular reconstruction is presented. The “double barrel” technique was used in 6 cases. The donor site was closed directly in 2 cases and with an abdominal full-thickness skin graft in 24 cases. Results: All flaps except 1 were viable. There was partial necrosis of the skin island in 1 patient. The average length of the fibula graft was 10.96 cm, and the number of osteotomies ranged from 0 to 3. In the donor site, the most significant problem was unsatisfactory scarring related to the use of a skin graft. There were no long-term functional complications in the lower leg. Two patients have been secondarily rehabilitated with osseointegrated implants. Conclusion: The fibula flap provides a successful bone graft for mandibular restoration with an acceptably low complication rate. This method meets most of the requirements for oral and mandibular replacement. © 2001 American Association of Oral and Maxillofacial Surgeons

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DOI : 10.1053/joms.2001.20482
Elsevier Health : 저널
Elsevier : 저널 > 논문

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