Defect-related variations in mandibular reconstruction using fibula grafts. A review of 96 cases.
Despite the popularity of the donor region 'laterodorsal calf' with the fibula, the flexor muscles and the overlying skin for microsurgical bone and soft tissue transfer some limitations and possible pitfalls have to be considered. We report on 93 patients who had 96 reconstructions, 65 with and 31 without soft tissue transfer in 8 years using microvascular fibular grafts for mandibular replacement and oromandibular reconstruction. Six patients died within 4 weeks and eight flaps were lost. Necrosis of the skin paddle occurred in 7 (11%) of 61 cases with uncomplicated bony healing.
Sieg
P
P
Consultant, Department of Maxillofacial Surgery, Medical University of Luebeck, Luebeck, Germany. sieg@medinf.mu-luebeck.de
Zieron
J O
JO
Bierwolf
S
S
Hakim
S G
SG
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000534:rehabilitation / Q000601:surgery*; D015921:Dental Implants; D005260:Female; D005360:Fibula / Q000637:transplantation; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply; D013704:Temporomandibular Joint / Q000601:surgery*; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome
D015921:Dental Implants