Pediatric mandibular reconstruction after benign tumor ablation using a vascularized fibular flap.
This study evaluated the aesthetic and functional outcomes of vascularized fibular flaps used for pediatric mandibular reconstruction. Six pediatric patients ranging in age from 12 to 15 years underwent mandibular reconstruction using a vascularized fibula flap with a skin paddle, after benign tumor ablation. All of the flap transfers were successful, and there were no complications. Panorex radiographs showed good bone union in all patients. The flap conferred adequate support for dental rehabilitation. The mean follow-up was 24.2 months. The aesthetic and functional outcomes were normal. No patient had recurrence. A vascularized fibular flap is a very reliable method for reconstructing the pediatric mandible after benign tumor ablation.
Li
Jin-song
JS
Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Chen
Wei-liang
WL
Huang
Zhi-quan
ZQ
Zhang
Da-ming
DM
D000293:Adolescent; D000564:Ameloblastoma / Q000534:rehabilitation / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D003778:Dentures; D004032:Diet; D004954:Esthetics; D005260:Female; D018214:Fibroma, Ossifying / Q000534:rehabilitation / Q000601:surgery; D005357:Fibrous Dysplasia of Bone / Q000534:rehabilitation / Q000601:surgery; D005360:Fibula; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000534:rehabilitation / Q000601:surgery; D008339:Mandibular Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D011862:Radiography, Panoramic; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013065:Speech Intelligibility / Q000502:physiology; D013524:Surgical Flaps / Q000098:blood supply; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology