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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.

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References

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    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.
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