Fibula flap

Salgado, Christopher J.; Moran, Steven L.; Mardini, Samir; Wei, Fu‐Chan

doi:10.1016/b978-0-7216-0519-7.00032-0

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…It is possible to enclose the lateral sural nerve with the fibula flap to improve function of recipient site (Figure 7). [28]…”

Section: Flap Anatomymentioning

confidence: 99%

“…After access to the fibula bone, the maximum length of the bone is included with proximal osteotomy 6 cm inferior to the fibular head and distal osteotomy 8 cm superior to the lateral malleolus ( Figure 9). [28]…”

Section: A Common Fibula Flap Harvesting Techniquementioning

confidence: 99%

“…[30] Noticeable limitation and discomfort in ankle function and range of motion with aggressive physical activity may result after fibula harvest, particularly if tibiofibular fusion is performed. [28] Commonly the bone flap may tolerate venous thrombosis for up to 24 hours because of spontaneous bleeding from the medullary canal before the artery undergoes thrombosis, but venous drainage of the skin paddle must be managed by reoperation. [28]…”

Section: Complicationsmentioning

confidence: 99%

“…[28] Commonly the bone flap may tolerate venous thrombosis for up to 24 hours because of spontaneous bleeding from the medullary canal before the artery undergoes thrombosis, but venous drainage of the skin paddle must be managed by reoperation. [28]…”

Section: Complicationsmentioning

confidence: 99%

“…Anatomy of a free fibula flap6.2. Flap componentThe fibula flap is harvested as a bone flap and may consist of muscles (soleus or flexor hallucis longus), overlying fascia and/or skin(Figure 8) [28]. …”

mentioning

confidence: 99%

See 4 more Smart Citations

Basics of Microvascular Reconstruction of Maxillomandibular Defects

Zamiri¹

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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“…It is possible to enclose the lateral sural nerve with the fibula flap to improve function of recipient site (Figure 7). [28]…”

Section: Flap Anatomymentioning

confidence: 99%

Section: A Common Fibula Flap Harvesting Techniquementioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Basics of Microvascular Reconstruction of Maxillomandibular Defects

Zamiri¹

2015

A Textbook of Advanced Oral and Maxillofacial Surgery Volume 2

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A novel patient positioning technique during raising peroneal system free flaps

et al. 2022

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Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

Zang

Wang

et al. 2023

Ann Plast Surg

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Background Previously reported pre-expansion techniques of the anterolateral thigh flap are mainly perforator-based. The expansion will interfere with the flap harvest if the requisite perforator is found unsuitable as a pedicle. Expansion of the peripheral territories of the flap donor site can minimize the interference from the expansion. Methods Forty-eight peripheral pre-expansions of the anterolateral thigh flap were retrospectively reviewed in 38 patients from 2012 to 2021. The reconstructive outcomes, including flap success, increase in flap size, donor-site closure, and complications, were assessed. In addition, subgroup analysis was performed based on the expanded territories. Results Rate of successful flap elevation of 100% and flap survival rate of 97.9% were achieved. One patient had total flap necrosis, which was salvaged with skin grafting. Peripheral expansion attained a mean 55.5% ± 19.6% increase in flap width. Primary donor-site closure was accomplished in 95.8% of flaps and fascial restoration in 97.9% of the donor sites. Three patients developed major expansion-related complications, which required surgical intervention. One patient had wound dehiscence in the donor site, which healed by secondary intention. Compared with other subgroups, the lateral-and-medial-side expansion provided a larger flap for reconstruction (P = 0.001). Conclusions If time is not of the essence, peripheral pre-expansion permits direct donor-site closure with size augment of the anterolateral thigh flap. In addition, it preserves the reliability and versatility of the anterolateral thigh flap.

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Fibula flap

Cited by 5 publications

References 6 publications

Basics of Microvascular Reconstruction of Maxillomandibular Defects

Basics of Microvascular Reconstruction of Maxillomandibular Defects

A novel patient positioning technique during raising peroneal system free flaps

Extensive Defect Reconstruction With Pre-expanded Anterolateral Thigh Flap

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