title: [Growth defects of fibular flaps in children].
abstract: BACKGROUND
  Mandibular reconstruction with fibula free flap is a challenge in pediatric patients because of the size of the bone and absence of growth without epiphyseal transplantation.
  
  
  METHODS
  We report 2 cases of free fibula flap in children for mandibular reconstruction. The 2 patients presented with growth insufficiency of the bone graft after few years of evolution.
  
  
  CONCLUSIONS
  Growth insufficiency was treated with different surgical procedures which were discussed We review the consequences on growth after fibula free flap and the specific indications to achieve epiphyseal fibular growth in children.
authors.affiliation: Service de Chirurgie Maxillo-Faciale, Hôpital Nord, 93, Grande rue de la Croix-Rousse, 69317 Lyon Cedex 04.
authors.forename: A
authors.initials: A
authors.lastname: Gleizal
authors.forename: P
authors.initials: P
authors.lastname: Revol
authors.forename: P
authors.initials: P
authors.lastname: Bouletreau
authors.forename: F
authors.initials: F
authors.lastname: Sailhan
authors.forename: M
authors.initials: M
authors.lastname: Freidel
authors.forename: P
authors.initials: P
authors.lastname: Breton
mesh_terms: D001848:Bone Diseases, Developmental / Q000209:etiology* / Q000601:surgery; D016025:Bone Transplantation / Q000502:physiology*; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000254:growth & development / Q000637:transplantation*; D006801:Humans; D007223:Infant; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D008844:Micrognathism / Q000209:etiology / Q000601:surgery; D019647:Oral Surgical Procedures / Q000009:adverse effects; D019857:Osteogenesis, Distraction; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D013524:Surgical Flaps / Q000502:physiology*