Non-vascularised fibular bone graft after vascular crisis: compensation for the failure of vascularised fibular free flaps

Xiao, Ni; Zhang, L.; Peng, Xin; Mao, Chi; Zhang, J.; Cai, Zhi‐Gang

doi:10.1016/j.bjoms.2018.06.018

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Typically, such success should be attributed to the early detection of postoperative vascular crisis, favorable preoperative physical condition, small range of soft tissue defect, and no history of radiotherapy in these patients. Coincidentally, Xiao et al [14] had recently reported 10 cases with vascular crisis, and non-vascularized fibular bone grafts were applied in these patients to compensate for the failure of free vascularized iliac bone flaps. The above findings show that the nonvascularized fibular graft is promising to serve as a remediation technique after failure of vascularized fibular flap, which contributes to the successful restoration segmental mandibular defects and facial contours of patients.…”

Section: Discussionmentioning

confidence: 99%

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Shao

Wang

et al. 2020

World J Surg Onc

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Background: A vascularized fibular osteomyocutaneous flap with severe vascular crisis often results in serious consequences. This study aims to examine the clinical effect of non-vascularized fibular graft on patients with severe vascular crisis after reconstruction of the defect jaw with vascularized fibular osteomyocutaneous flap. Materials and methods: From December 2007 to December 2018, a total of 104 patients with jaw neoplasms that underwent reconstruction with free vascularized fibular flap were retrospectively analyzed; seven of these cases had postoperative vascular crisis during mandibular reconstruction. Results: Of the seven cases with postoperative vascular crisis, the vascularized fibular flaps in three patients survived completely, thanks to early detection; two cases were completely necrotic and removed in the end, and the remaining two cases had severe vascular crisis after the removal of the soft tissue attached to the fibular flap. The non-vascular fibular grafts were retained regardless of the severe absorption after follow-ups for 25 and 69 months, respectively. Conclusions: If vascular crisis occurs following jaw reconstruction with a vascularized fibular osteomyocutaneous flap, early re-surgical exploration effectively improves the salvage rate. In addition, when a severe vascular crisis occurs, the vascularized fibular flap can be changed to a non-vascular fibular graft to reconstruct the mandibular defect, thus avoiding the serious consequences resulting from the complete failure of fibular graft.

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Section: Discussionmentioning

confidence: 99%

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Shao

Wang

et al. 2020

World J Surg Onc

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show abstract

“…Flap transplantation has been widely applied to repair wound surfaces and restore the recipient site shape and physiological function. 1 , 2 However, microvascular tissue transfer takes a long time to operate, and flap failures cannot be avoided, thereby putting patients at risk of re-transplantation or even amputation. 3 Survival rates for compromised flaps are inversely related to the time interval between the onset of vascular occlusion and exploration.…”

Section: Introductionmentioning

confidence: 99%

Development and usability of a Mobile Interactive Application (VCPW) for Vascular Crisis Prewarning after Skin Flap Transplantation

Peng

Wang

et al. 2023

JPRAS Open

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Non-vascularised fibular bone graft after vascular crisis: compensation for the failure of vascularised fibular free flaps

Cited by 2 publications

References 22 publications

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Jaw reconstruction with vascularized fibular flap: The 11-year experience among 104 patients

Development and usability of a Mobile Interactive Application (VCPW) for Vascular Crisis Prewarning after Skin Flap Transplantation

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