Microsurgical reconstruction of the mandible part I: experience of 218 cases and surgical outcomes

Surgical Management of Severe Mandibular Actinomycosis: Segmental Mandibulectomy and Fibula Free Flap for Optimal Outcomes

“…Concerning the donor site, there was acceptable morbidity, a common occurrence with this flap. This manifested as a linear scar and minimal functional disability, primarily involving some discomfort in ankle function and range of movement during more strenuous physical exertion [ 10 , 11 ].…”

“…Free vascularized bone flaps have demonstrated faster healing and greater reliability, especially in instances involving contamination of the recipient site wound [10]. Additionally, these flaps possess a clearly defined vascular supply, enabling multiple osteotomies, a particularly crucial aspect in craniofacial contouring procedures, as well as allowing future oral rehabilitation with implants [10][11][12].…”

“…The proposed approach entailed the resection of the infected mandibular bone followed by immediate reconstruction using a fibula-free flap. The patient provided consent for the procedure, and a right segmental mandibulectomy was performed, resulting in a class II bone defect as per the Zenha H et al classification [8]. Simultaneously, fistulectomy of the submandibular cutaneous fistula was carried out using a submandibular approach (Figure 2).…”