Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction.
BACKGROUND
The free fibula osteoseptocutaneous flap remains the first choice for segmental mandible and contiguous soft-tissue defect reconstructions in most situations.


METHODS
Several important principles are described that should be respected during skin paddle design: fibula contouring, insetting, and fixation, and dental implant osseointegration. Recent advancements that address difficulties in height contouring, particularly at the anterior segment, are highlighted.


RESULTS
The presented methods can help provide an optimal mandibular reconstruction that restores mechanical functions, facial aesthetics, and complete dental competence.


CONCLUSIONS
Efficient interdisciplinary communication and teamwork are necessary throughout the longitudinal care of the patient if optimal results are to be achieved.
Wallace
Christopher Glenn
CG
Taipei, Taiwan From the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University.
Chang
Yang-Ming
YM
Tsai
Chi-Ying
CY
Wei
Fu-Chan
FC
D016025:Bone Transplantation; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D016348:Osseointegration; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D020858:Tissue and Organ Harvesting / Q000379:methods