Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience
Journal: Archives of Otolaryngology & Rhinology (Vol.2, No. 1)Publication Date: 2016-06-28
Authors : Mohamed Tarek Hafez Khaled Abdel Wahab Sameh Roshdy Fayez Shahatto Waleed el Nahas Mohamed El Metwally Fathy Denewer Omar Farouk; Adel Denewer;
Page : 030-034
Keywords : ;
Abstract
Mandibular reconstruction using vascularized osteocutaneous flaps is necessary to improve functional outcomes, such as jaw movement and mastication, and aesthetics after the wide resection of the mandible [1]. Bone grafts had been widely used for reconstruction, with the advent of microsurg ry, such as rib [2], metatarsal [3], radial [4], scapular [5], iliac [6], and fibular [7,8]. Using the fibula for re on truction of mandibular defects through microvascular technique was first described by Hidalgo in 1989 [9]. This microvascular flap depends on peroneal artery and the accompanying veins. This flap is characterized by rich vascularity with a long and wide pedicle as the vascular nourishment to this bone comes through both segmental and intraosseous ways, so, it can withstand multiple osteotomies without fear from any ischemic complications [10]. This makes reconstruction of large defects after radical tumor resection more easy.
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