title: Sculpturing a fibular flap: combined horizontal/vertical osteotomy and ostectomy for reconstruction of complex craniofacial defects with one flap.
abstract: A fibular flap has great versatility in reconstructive procedures. Osteomies and ostectomies enable the flap to be used for variable defects. We used combined horizontal/vertical osteotomy and ostectomy for reconstruction of complex craniofacial defects with one flap in two patients. Vertical osteotomy transforms the tubular structure of a fibula into a flat bone that can be used for reconstruction of wider defects with less vertical height. Neither vertical osteotomy nor ostectomy had negative effects on viability and bony healing of the segments in our patients. We think that the fibular flap, thanks to its versatility, can be used for reconstruction of complex orbito-zygomatic and orbito-cranial defects successfully.
authors.affiliation: Plastic and Reconstructive Surgery Specialist, Bursa, Turkey.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Okumus
authors.forename: Ufuk
authors.initials: U
authors.lastname: Emekli
authors.forename: Fatih
authors.initials: F
authors.lastname: Kabakas
authors.forename: Samet Vasfi
authors.initials: SV
authors.lastname: Kuvat
authors.forename: Atakan
authors.initials: A
authors.lastname: Aydin
authors.forename: Günter
authors.initials: G
authors.lastname: Hafiz
authors.forename: Ayaz
authors.initials: A
authors.lastname: Aslanov
authors.forename: Sinan Nur
authors.initials: SN
authors.lastname: Kesim
mesh_terms: D019465:Craniofacial Abnormalities / Q000601:surgery*; D005147:Facial Bones / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009915:Orbit / Q000293:injuries / Q000601:surgery; D010027:Osteotomy; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D015050:Zygoma / Q000002:abnormalities / Q000601:surgery