title: Reconstruction of through-and-through oromandibular defects by the double-skin paddle fibula osteocutaneous flap: can the skin paddle always be divided?
abstract: Reconstruction of the through-and-through defects of the oral cavity, involving oral mucosa, bone, and external skin is a major challenge. A single fibula osteocutaneous flap providing two skin islands is an option for such composite reconstruction. The number, location, and size of skin perforators were studied in the distal two thirds of the lower legs in 22 cases of fibula osteocutaneous flap mandibular reconstruction, and whether the skin paddle of the fibula flap could always be divided completely based on two distal perforators was examined. In this study, only 50% of the flaps had two or more distal perforators; thus, it was concluded that the skin paddle of the fibula osteocutaneous flap could not always be divided based on two distal skin perforators.
authors: Department of Plastic Surgery, Osaka Rosai Hospital, Kita-ku, Sakai, Japan. tateki@psurg.med.osaka-u.ac.jp
authors: Tateki
authors: T
authors: Kubo
authors: Yoko
authors: Y
authors: Osaki
authors: Ryo
authors: R
authors: Hattori
authors: Shigeyuki
authors: S
authors: Kanazawa
authors: Ko
authors: K
authors: Hosokawa
mesh_terms: D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D005360:Fibula / Q000098:blood supply* / Q000637:transplantation; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D018570:Risk Assessment; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology