Mandible Reconstruction with Vascularized Fibula

An anatomic study of the perforators from the peroneal artery. A new method to locate the cutaneous perforator

“…The fibular flap is currently used as a free or pedicle flap in the treatment of trauma patients with long bone defects, nonunion or necrosis of the femoral head. It can also be used for defects of the maxillary and mandible bones [ 5 , 9 , 13 , 14 ]. However, the conditions of the flap, including the patency of the anastomosis and flap survival, are difficult to monitor, as it is covered by the local skin.…”

“…The fibula osteocutaneous flap can be suitably used to reconstruct mandibular defects including the oral mucosa and facial skin [ 8 ]. Many authors now consider the fibula flap as the first option for most mandible reconstructions [ [9] , [10] , [11] ].…”