title: Reconstruction of two mandible defects with one fibular flap.
abstract: The present report describes an original surgical procedure for the mandibular reconstruction of 2 different defects using a single fibular flap. In addition to the habitual osteotomies, we resected a bone fragment from the middle portion of the flap, with care taken to maintain the integrity of the pedicle throughout its extension to guarantee an adequate blood supply also for the distal portion of the bone flap used for the treatment of the smaller mandibular defect. This simple maneuver permitted the reconstruction of 2 mandibular regions with well-vascularized bone tissue using a single microsurgical flap.
authors.affiliation: Department of Ophthalmology, Otolaryngology and Head and Neck Surgery, University Hospital, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Francisco V
authors.initials: FV
authors.lastname: Mello-Filho
authors.forename: Rodrigo Ribeiro
authors.initials: RR
authors.lastname: Brigato
authors.forename: Gustavo C
authors.initials: GC
authors.lastname: Eichenberger
authors.forename: Samuel R
authors.initials: SR
authors.lastname: Xavier
authors.forename: Rui C
authors.initials: RC
authors.lastname: Mamede
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D018214:Fibroma, Ossifying / Q000175:diagnosis / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000175:diagnosis / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult