Bilobed fibula flap for reconstruction of through-and-through oromandibular defects.
Publication/Presentation Date
9-1-2007
Abstract
BACKGROUND: The role of fibula free flaps for reconstruction of through-and-through oromandibular defects is examined.
METHODS: Thirty-four patients underwent reconstruction of through-and-through oromandibular defects using fibula free flaps that contain large, bilobed skin paddles for simultaneous reconstruction of intraoral mucosa and external skin. We examined the incidence of wound healing complications, the need for revision reconstructive surgery, and factors affecting the incidence of complications.
RESULTS: Wound healing complications occurred in 50% of patients. There was a relatively high incidence of partial flap necrosis (26%) and revision surgery (41%). The area of the flap skin paddle was significantly associated with the risk of partial flap necrosis and the need for revision surgery.
CONCLUSIONS: Many through-and-through oromandibular defects can be successfully reconstructed using a fibula free flap that contains a large, bilobed skin paddle. However, wound healing complications are increased when the flap skin paddle area exceeds 300 cm2.
Volume
29
Issue
9
First Page
829
Last Page
834
ISSN
1043-3074
Published In/Presented At
Said, M., Heffelfinger, R., Sercarz, J. A., Abemayor, E., Head, C., & Blackwell, K. E. (2007). Bilobed fibula flap for reconstruction of through-and-through oromandibular defects. Head & neck, 29(9), 829–834. https://doi.org/10.1002/hed.20612
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
17315169
Department(s)
Administration and Leadership
Document Type
Article