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Review
. 2024 Nov 1;110(11):7196-7201.
doi: 10.1097/JS9.0000000000001972.

The fibula osteoseptocutaneous flap: evolution in concepts, techniques, and technologies during mandibular reconstruction - a review

Curtis Hanba  1 , Ta-Chun Lin, Fu-Chan Wei
Affiliations
Review

The fibula osteoseptocutaneous flap: evolution in concepts, techniques, and technologies during mandibular reconstruction - a review

Curtis Hanba et al. Int J Surg. .

Abstract

The fibula-free flap has evolved from its initial description to be a reliable workhorse-free flap providing bone, soft tissue, and a reliable skin paddle. The senior author has been refining this technique since the mid-1980s and has personally performed over 950 hundred cases of the fibula-free flap. The following paragraphs detail an evolution in surgical concepts related to this technique's refinement and serves as a roadmap detailing contemporary mandibular reconstruction.

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Conflict of interest statement

The authors have no conflicts of interest to report.

Figures

Figure 1
Figure 1
Fibula osteoseptocutaneous flap. The three red arrows indicate septocutaneous vessels identified between peroneus longus and soleus.
Figure 2
Figure 2
Segmental mandibulectomy reconstruction. (A) Surgical defect. (B) 3 Segment fibula. (C) Inset with 4 dental implants. (D) Postoperative Panorex. (E) Dental prosthesis and final occlusion.
Figure 3
Figure 3
Maxillectomy reconstruction. (A) Preoperative lithograph model and cutting guides. (B) Fibula inset (C) Postoperative intraoral scan identifies position of implants and allows milling of dental implant. (D) 9 months follow-up, the dental abutment is placed to achieve final occlusion. (E) Postoperative Panorex.
See this image and copyright information in PMC

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