title: Osteosynthesis and bony healing between two consecutive free fibular bone grafts.
abstract: This case report describes a recurrent squamous cell carcinoma in the oral cavity requiring two consecutive free fibula transfers at different times. In a unique application of the fibula, rigid miniplate fixation was used between the two independent free flaps to reconstitute the contour of the mandible for an extensive composite oromandibular defect, extending from the left angle to the right ascending ramus. This application underscores the utility of the free osteocutaneous fibular flap for reconstruction of complex mandibular defects.
authors.affiliation: Division of Plastic and Reconstructive Surgery at UCLA, Los Angeles, Calif., USA. njones@mednet.ucla.edu
authors.forename: N F
authors.initials: NF
authors.lastname: Jones
authors.forename: M M
authors.initials: MM
authors.lastname: Elahi
mesh_terms: D000328:Adult; D001860:Bone Plates; D016025:Bone Transplantation; D002294:Carcinoma, Squamous Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009062:Mouth Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D011862:Radiography, Panoramic; D012086:Reoperation