title: [Mandibular reconstruction with free osteocutaneous fibula flap using the occipital artery as recipient vessel].
abstract: Authors performed reconstructive surgery for extensive skin and mandibular bone defect following gunshot injury to the left side of the face. The soft tissue and bone defect was reconstructed with the free osteocutaneous fibula flap harvested from the left lower leg, as suitable local reconstructive flap was not available. The bony continuity was reestablished with a 7 cm long fibula segment. Microvascular anastomoses were performed to the left occipital artery and the left internal jugular vein. The occipital artery was chosen as the external carotid system was completely missing on the right side and was missing several branches on the left side due to the trauma. The fibular segment became fully incorporated and 95% of the flap healed by primary intention.
authors: Honvédkórház Állami Egészségügyi Központ Baleseti Sebészeti Osztály, Plasztikai és Égéssebészeti Részleg Budapest Rétköz u. 47/B 1118. csaba@halmy.hu
authors: Csaba
authors: C
authors: Halmy
authors: Ferenc
authors: F
authors: Oberna
authors: Pál
authors: P
authors: Pesthy
authors: Csilla
authors: C
authors: Suri
authors: Gábor
authors: G
authors: Csáki
authors: László
authors: L
authors: Szentpétery
mesh_terms: D000714:Anastomosis, Surgical; D016025:Bone Transplantation / Q000379:methods; D002536:Cerebral Arteries / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008334:Mandible / Q000601:surgery*; D008338:Mandibular Injuries / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D009778:Occipital Lobe / Q000098:blood supply; D019651:Plastic Surgery Procedures / Q000379:methods*; D013406:Suicide, Attempted; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery