title: One-and-a-half-barrel vascularized free fibular flap for the reconstruction of segmental mandibular defect.
abstract: We designed one-and-a-half-barrel vascularized free fibular flap which is a further modification of the double-barrel technique, and we tried to overcome the discrepancy between mandible and fibula flap. We used this flap in case of a segmental mandibular defect that occurred as a result of a giant cell reparative granuloma excision. This new modification eliminated volume insufficiency of the classical technique and volume excess of the double-barrel technique.A segmental mandibular defect that occurred as a result of giant cell reparative granuloma excision was reconstructed using one-and-a-half-barrel vascularized free fibular flap. The size discrepancy between mandible and free fibula flap is a well-known problem, and this new modification of free fibular flap eliminated volume insufficiency or excess problems of the other techniques.
authors.affiliation: Haydarpasa Training Hospital, Department of Plastic and Reconstructive Surgery, Istanbul, Turkey.
authors.forename: Ersin
authors.initials: E
authors.lastname: Ulkur
authors.forename: Huseyin
authors.initials: H
authors.lastname: Karagoz
authors.forename: Yalcin
authors.initials: Y
authors.lastname: Kulahci
authors.forename: Berkay Tolga
authors.initials: BT
authors.lastname: Suer
authors.forename: Sinan
authors.initials: S
authors.lastname: Oksuz
authors.forename: Ismail Doruk
authors.initials: ID
authors.lastname: Kocyigit
authors.forename: Cengiz
authors.initials: C
authors.lastname: Acikel
authors.forename: Muammer
authors.initials: M
authors.lastname: Urhan
mesh_terms: D001706:Biopsy; D005360:Fibula / Q000637:transplantation*; D058752:Free Tissue Flaps / Q000098:blood supply*; D006101:Granuloma, Giant Cell / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods*; D055815:Young Adult