Management of Through-and-Through Oromandibular Defects after Segmental Mandibulectomy with Fibula Osteocutaneous Flap

Mathews, Saumya; Jaiswal, Dushyant; Yadav, Prabha; Shankhdhar, Vinay Kant; Hadgaonkar, Sumit; Mantri, Mayur; Bindu, Ameya; Pilania, Vineet; Mohammad, Arbab; Escandón, Joseph M.

doi:10.1055/a-2060-9950

Cited by 1 publication

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“…The advantages of using this technique; It offers sufficient bone length for metatarsal defects of all sizes, multiple osteotomies can be made while preserving the pedicle, the fibula thickens after surgery due to its high cortical density and is strong enough to support the body weight, it can tolerate angular loads due to its triangular structure similar to the metatarsal anatomy, the skin color in the osteocutaneous component is matched by the color of the dorsum of the foot. It has the advantage of being compatible [31,32]. We also used osteocutaneous fibula flap for metatarsal bone defect and our results were consistent with the literature.…”

Section: Discussionsupporting

confidence: 86%

The Use of Free Fibula Flap in Different Extremities and Our Clinical Results

Atilgan

2023

Cureus

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Background and objectives Plastic, orthopedic, otolaryngology, and oromaxillofacial surgery specialists rely on fibula grafts to solve reconstructive problems. The aim of this study is to discuss the use and results of vascular fibula flaps in the treatment of bone and soft tissue defects in various regions with different etiologies. Materials and methods In our clinic, we treated 32 patients with osteocutaneous fibular flaps due to bone and soft tissue defects of different etiologies and varying anatomical regions. In our study, age, gender, side, cause of injury, surgical technique, treatment results, and complications were evaluated for each patient. Results Of the 32 patients, 25 were male, and 7 were female. The average age is 37.2 (27-56). The mean bone defect size was 10.45 cm. Bone defect occurred in eight patients due to osteomyelitis, eleven patients due to gunshot wounds, nine patients due to pseudoarthrosis, and four patients due to a giant cell tumor. We applied osteocutaneous fibula flap in 27 patients and vascularized fibular flap in five patients. Bone union could not be achieved in four patients, and bone grafting was performed as a secondary surgery. Local infection occurred in five patients, and their treatment was completed with debridement and antibiotic administration. Wound complications occurred in three patients at the donor site, which were treated with debridement and skin grafting. The mean duration of radiological union was three months, and complete union was achieved in the seventh month. Conclusions We have shown in our case series that free vascularized fibula transfer has gained an important place in the field of skeletal reconstruction and is a reliable method for various bone reconstructions.

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Section: Discussionsupporting

confidence: 86%

The Use of Free Fibula Flap in Different Extremities and Our Clinical Results

Atilgan

2023

Cureus

View full text Add to dashboard Cite

show abstract

Management of Through-and-Through Oromandibular Defects after Segmental Mandibulectomy with Fibula Osteocutaneous Flap

Cited by 1 publication

References 31 publications

The Use of Free Fibula Flap in Different Extremities and Our Clinical Results

The Use of Free Fibula Flap in Different Extremities and Our Clinical Results

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