title: [Double skin paddle fibula free flap in orofacial reconstruction. Case report].
abstract: Mandibular reconstruction in cases of complex muco-cutaneous defects is a challenge for head and neck surgeons. Here, we report the case of a patient who showed an oro-facial defect including bone, skin and mucosa. We decided to use a double skin paddle fibula osteocutaneous free flap for the reconstruction. Identification and preservation of the septo and musculocutaneous perforators vessels to the skin is the clue step to ensure flap vitality. In this situation mucosal and cutaneous reconstruction is possible using a folded skin paddle. We also discuss the reconstructive options for this kind of defects.
authors.affiliation: Servicio de Cirurgía Oral y Maxilofacial, Hospital Universitario La Paz, Madrid.
authors.forename: M
authors.initials: M
authors.lastname: Burgueño García
authors.forename: J L
authors.initials: JL
authors.lastname: Cebrián Carretero
authors.forename: J L
authors.initials: JL
authors.lastname: del Castillo Pardo de Vera
authors.forename: V
authors.initials: V
authors.lastname: Martorell Martínez
mesh_terms: D000328:Adult; D002610:Cheek / Q000293:injuries* / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008338:Mandibular Injuries / Q000601:surgery*; D009061:Mouth Mucosa / Q000293:injuries* / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps