Vascularized Fibular Flap for Reconstruction of the Condyle After Mandibular Ablation

A treatment algorithm for managing giant mandibular ameloblastoma: 5-year experiences in a Paris university hospital

“…Moreover, this flap offers excellent bicortical bone stock for dental implant placement and a versatile cutaneous unit for soft-tissue reconstruction. 9,[15][16][17][19][20][21][22][23][24] Once dehiscence occurs, the vital periosteum accelerates the re-epithelialisation and healing. 16 The muscle-sparing technique diminishes the donor-site dead space and subsequent haematoma, reduces the risk of the pedicle damage, promotes the skin-island pliability, and preserves the donor limb strength.…”

“…In the disarticulated patients, condylar reconstruction using the distal end of the FFF is possible without damage to the vascular pedicle. 24 Pogrel et al 25 reported the higher success rate of the FFF for mandibular defects more than 9 cm in length, compared with free bone grafts. Non-vascularised bone grafting is indicated only for small defects less than 5 cm in non-irradiated tissue and/or in medically unfit patients to tolerate microvascular head and neck reconstruction (MHNR) or when a defect includes bone only.…”

Combined treatment of aggressive central giant cell granuloma in the lower jaw

“…Attempts have been made to delineate a more aggressive subtype, requiring more radical treatment, by histological, radiographic and clinical features (Chuong et al, 1986;Whitaker and Waldron, 1993). Aggressive CGCG is locally destructive with a high recurrence rate and needs extensive surgical procedures with significant functional and aesthetic impairment, especially in young patients (de Lange et al, 2007;Gonzalez-Garcia et al, 2008;Tosco et al, 2009). Therefore, alternative therapeutic modalities, mainly pharmacological agents, are frequently used.…”

“…Aggressive lesions are larger (over 5 cm), show rapid growth, tooth displacement, root resorption, cortical expansion or perforation, and a high recurrence rate of between 37.5% and 70% (Chuong et al, 1986;de Lange et al, 2007). These aggressive type or recurrent lesions require wide en-bloc resection that leads to major defects in the jaws that can alter the facial contours (de Lange et al, 2007;Gonzalez-Garcia et al, 2008;Tosco et al, 2009) and necessitate major reconstruction. Some surgeons use autogenous bone grafts or vascularized fibula free flap for reconstruction of extensive CGCG (Gonzalez-Garcia et al, 2008;Tosco et al, 2009).…”

“…These aggressive type or recurrent lesions require wide en-bloc resection that leads to major defects in the jaws that can alter the facial contours (de Lange et al, 2007;Gonzalez-Garcia et al, 2008;Tosco et al, 2009) and necessitate major reconstruction. Some surgeons use autogenous bone grafts or vascularized fibula free flap for reconstruction of extensive CGCG (Gonzalez-Garcia et al, 2008;Tosco et al, 2009). …”