Fibula Free Flap in Mandibular Reconstruction

Fernandes, Rui

doi:10.1016/j.cxom.2006.05.003

Cited by 36 publications

(22 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, lack of stability of the obturator, even with an experienced maxillofacial prosthodontist, can be a clinical challenge [14]. …”

Section: Methodsmentioning

confidence: 99%

“…This scenario frequently leads to chronic plate exposure with inflammation, and possibly the need for plate removal with or without replacement. With the wide use of composite free flaps, surgeons can provide adequate soft tissue bulk and bone support to re-establish continuity, function and potentially provide sufficient bone for osseointegration of dental implants to restore masticatory function [14,16-18,26]. Great debate regarding which osseous flap is best for implant placement exist in the literature and various techniques are been proposed to provide the most ideal flap for this purpose [27,28].…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Surgical Complications in the Oral Cancer Patient: A Comprehensive Review. Part II

Kolokythas

2010

JOMR

View full text Add to dashboard Cite

ObjectivesSurgery remains the preferred treatment for the majority of oral cancers. The aim of the present article was to provide a comprehensive review of complications associated with surgical treatment of oral cancer including hardware failure; complications associated with choice of reconstruction, donor site morbidity as well as functional and aesthetic issues that impact on the quality of life.Material and MethodsThe available English language literature relevant to complications associated with surgical treatment of oral cancer was reviewed. Complications associated with potential for disfigurement, choice of reconstruction, donor site morbidity as well as functional and aesthetic issues that impact on the quality of life are summarized.ResultsIn total 35 literature sources were obtained and reviewed. The topics covered in the second part of this review series include hardware failure, scars and fistula formation; complications associated with choice of reconstruction, donor site morbidity as well as functional and aesthetic issues.ConclusionsCancer resection should be planned around two very important concepts. First and foremost is the eradication of disease. This should be the ultimate goal of the ablative team and all potential complications that may be the result of appropriately executed oncologic resection should be discussed in details with the patient. Adequate reconstruction of the defects with restoration of form and function is the second, but not of less importance, goal for the successful care of the head and neck cancer patient.

show abstract

“…Also, lack of stability of the obturator, even with an experienced maxillofacial prosthodontist, can be a clinical challenge [14]. …”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Long-Term Surgical Complications in the Oral Cancer Patient: A Comprehensive Review. Part II

Kolokythas

2010

JOMR

View full text Add to dashboard Cite

show abstract

“…Since the fibula is considered to provide an osseous platform for the prosthetic restoration of an individual, osteometric and morphological data pertaining to the fibula may prove pivotal for reconstruction following disarticulation and fracture (Fernandes;Taser et al;Nguyen & Lin, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Since the fibula group is considered to present with fewer complications at the respective donor and recipient sites than any other bone group and the distant location of the fibula from the head allows for a concurrent two-team approach, the fibula is extensively used in orthopaedic and plastic surgery (Matsuura et al, 1999;Fernandes;Winters, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…The growing popularity of fibula flap transfer and the advent of micro-vascular surgery have specified the fibula flap as the workhorse flap in mandibular reconstruction (Taylor et al, 1975;Fernandes, 2006). Since the fibula group is considered to present with fewer complications at the respective donor and recipient sites than any other bone group and the distant location of the fibula from the head allows for a concurrent two-team approach, the fibula is extensively used in orthopaedic and plastic surgery (Matsuura et al, 1999;Fernandes;Winters, 2007).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Osteometry and Morphology of the Human Fibula: A South African Study

et al. 2015

View full text Add to dashboard Cite

SUMMARY: Recent studies have regarded the fibula flap as the benchmark for the reconstruction and treatment of compound wounds and lesions. Owing to its postero-lateral location within the leg, the application of the fibula flap is deemed aesthetically advantageous as the donor scar can be easily hidden. Since the fibula is anatomically characterized by a shaft and two extremities, this study aimed to investigate the nutrient foramen morphology and the relative fibular osteometry. Osteometric and morphological evaluation of 104 dry human fibulae, representing male and female individuals of the Black and Caucasian population groups that are native to South Africa, were conducted (Age range: 15 -81 years old). The presence of single, double and six nutrient foramina were noted. A total of fifteen different locations of the nutrient foramen relative to the fibular surfaces, margins and component parts were identified. In addition to several other osteometric parameters, the mean fibular length (mm) and diameter of the nutrient foramina (mm) were [(male: 374.85±2.01; female: 345.49±1.86) (Black: 363.60±2.38; Caucasian: 380.42±3.01)] and [(male: 1.00±0.34; female: 0.96±0.42) (Black: 0.98±0.37; Caucasian: 1.11±0.27)], respectively. In light of the lack of osteometric data regarding destabilization and subsequent reconstruction of the talocrural joint, the relative sides and angles of the irregular triangular talar facet were quantified. Due to the correlation of the respective fibular parameters with age, sex and races, the focus of this study was extensive in comparison to previous studies. The recorded statistically significant differences for age, sex and race may suggest a South African standardization of those demographic factors with the relevant fibular parameters. Furthermore, the location of nutrient foramina within the fibular shaft may assist with the mapping and development of simple classification schemes for the harvesting of fibular grafts.

show abstract