Ekanayake K, Thomas DG, Brennan PA. Reconstruction of a bilateral mandibular defect due to trauma using a single fibula free flap.
J Oral Maxillofac Surg 2013;
71:1724-8. [PMID:
23911144 DOI:
10.1016/j.joms.2013.06.195]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2013] [Revised: 06/04/2013] [Accepted: 06/09/2013] [Indexed: 11/25/2022]
Abstract
The reconstruction of noncontiguous bilateral mandibular defects using a single bony free flap is rarely performed because such defects are seldom encountered. This report describes the reconstruction of a bilateral body defect caused by shrapnel injury. A free vascularized osteomyocutaneous fibula flap was designed to replace 2 mandibular defects in the patient. The midportion of the fibula was resected without damage to the periosteum and vascular pedicle, and a skin paddle was used to monitor the flap. This would appear to be the first report of its use in the reconstruction of bilateral mandibular defects from trauma.
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