Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2010 Jan;125(1):305-314.
doi: 10.1097/PRS.0b013e3181c2bb9d.

Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction

Christopher Glenn Wallace  1 , Yang-Ming Chang, Chi-Ying Tsai, Fu-Chan Wei
Affiliations
Review

Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction

Christopher Glenn Wallace et al. Plast Reconstr Surg. 2010 Jan.

Abstract

Background: The free fibula osteoseptocutaneous flap remains the first choice for segmental mandible and contiguous soft-tissue defect reconstructions in most situations.

Methods: Several important principles are described that should be respected during skin paddle design: fibula contouring, insetting, and fixation, and dental implant osseointegration. Recent advancements that address difficulties in height contouring, particularly at the anterior segment, are highlighted.

Results: The presented methods can help provide an optimal mandibular reconstruction that restores mechanical functions, facial aesthetics, and complete dental competence.

Conclusion: Efficient interdisciplinary communication and teamwork are necessary throughout the longitudinal care of the patient if optimal results are to be achieved.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Schusterman MA, Harris SW, Raymond AK, Goepfert H. Immediate free flap mandibular reconstruction: Significance of adequate surgical margins. Head Neck 1993;15:204–207.
    1. Chana JS, Chang YM, Wei F, et al. Segmental mandibulectomy and immediate free fibula osteoseptocutaneous flap reconstruction with endosteal implants: An ideal treatment method for mandibular ameloblastoma. Plast Reconstr Surg. 2004;113:80–87.
    1. Chang YM, Shen YF, Lin HN, Tsai AH, Tsai CY, Wei FC. Total reconstruction and rehabilitation with vascularized fibula graft and osseointegrated teeth implantation after segmental mandibulectomy for fibrous dysplasia. Plast Reconstr Surg. 2004;113:1205–1208.
    1. Kildal M, Wei FC, Chang YM. Free vascularized bone grafts for reconstruction of traumatic bony defects of mandible and maxilla. World J Surg. 2001;25:1067–1074.
    1. Daniel R. Mandibular reconstruction with vascularized iliac crest: A 10-year experience (Discussion). Plast Reconstr Surg. 1988;82:802–803.

LinkOut - more resources