Advantages and limitations of the fibula free flap in mandibular reconstruction

Evaluation of Non-vascular Fibula Graft for Mandibular Reconstruction

“…From that time various options ranging from alloplastic bone substitutes to free vascularised flaps have been proposed and studied [2]. These defects are often addressed by using vascularised bone flaps and still stand as a gold standard for reconstruction [2][3][4][5][6][7][8][9]. The choice for reconstruction depends on various factors like availability of surgical expertise and equipment, medical fitness of patients and financial factors.…”

“…Reconstruction options for mandible range from metallic reconstruction plate to vascularised bone flaps [3][4][5][6][7][8][9][10]. Non vascular bone grafts could be used judiciously for reconstruction of selective mandibular defects with not much of soft tissue loss provided the defect is \9 cm [11], stable fixation to the native mandible and a 2-layer watertight closure both intraorally and extraorally.…”

Variations of the nutrient artery of the fibula

“…The fibula has some advantages, such a long length, adequate bone stock, minimal donor site morbidity (Ferri et al, 1997;Shpitzer et al, 1997).…”

Reconstructive Techniques for the Repair of Oral and Maxillofacial Oncological Procedures: What are they, How do they Work and What do they Look Like?

“…It was first described for reconstruction of oral defects in 1989 28 and is considered to be a successful method of mandibular reconstruction with minimal complications. [29][30][31][32] Advantages of the flap for mandibular reconstruction includes the length of bone available, low morbidity of the donor site, and the possibility of using a skin paddle. 31 The fibula free flap can be osteotomized and thus can be contoured into the shape of the resected mandible without compromising its blood supply.…”