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Bilobed fibula flap for reconstruction of through-and-through oromandibular defects.
Head Neck. 2007 Sep; 29(9):829-34.HN

Abstract

BACKGROUND

The role of fibula free flaps for reconstruction of through-and-through oromandibular defects is examined.

METHODS

Thirty-four patients underwent reconstruction of through-and-through oromandibular defects using fibula free flaps that contain large, bilobed skin paddles for simultaneous reconstruction of intraoral mucosa and external skin. We examined the incidence of wound healing complications, the need for revision reconstructive surgery, and factors affecting the incidence of complications.

RESULTS

Wound healing complications occurred in 50% of patients. There was a relatively high incidence of partial flap necrosis (26%) and revision surgery (41%). The area of the flap skin paddle was significantly associated with the risk of partial flap necrosis and the need for revision surgery.

CONCLUSIONS

Many through-and-through oromandibular defects can be successfully reconstructed using a fibula free flap that contains a large, bilobed skin paddle. However, wound healing complications are increased when the flap skin paddle area exceeds 300 cm2.

Authors+Show Affiliations

Department of Surgery, Division of Head and Neck Surgery, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, California, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17315169

Citation

Said, Meena, et al. "Bilobed Fibula Flap for Reconstruction of Through-and-through Oromandibular Defects." Head & Neck, vol. 29, no. 9, 2007, pp. 829-34.
Said M, Heffelfinger R, Sercarz JA, et al. Bilobed fibula flap for reconstruction of through-and-through oromandibular defects. Head Neck. 2007;29(9):829-34.
Said, M., Heffelfinger, R., Sercarz, J. A., Abemayor, E., Head, C., & Blackwell, K. E. (2007). Bilobed fibula flap for reconstruction of through-and-through oromandibular defects. Head & Neck, 29(9), 829-34.
Said M, et al. Bilobed Fibula Flap for Reconstruction of Through-and-through Oromandibular Defects. Head Neck. 2007;29(9):829-34. PubMed PMID: 17315169.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilobed fibula flap for reconstruction of through-and-through oromandibular defects. AU - Said,Meena, AU - Heffelfinger,Ryan, AU - Sercarz,Joel A, AU - Abemayor,Elliot, AU - Head,Christian, AU - Blackwell,Keith E, PY - 2007/2/23/pubmed PY - 2007/12/7/medline PY - 2007/2/23/entrez SP - 829 EP - 34 JF - Head & neck JO - Head Neck VL - 29 IS - 9 N2 - BACKGROUND: The role of fibula free flaps for reconstruction of through-and-through oromandibular defects is examined. METHODS: Thirty-four patients underwent reconstruction of through-and-through oromandibular defects using fibula free flaps that contain large, bilobed skin paddles for simultaneous reconstruction of intraoral mucosa and external skin. We examined the incidence of wound healing complications, the need for revision reconstructive surgery, and factors affecting the incidence of complications. RESULTS: Wound healing complications occurred in 50% of patients. There was a relatively high incidence of partial flap necrosis (26%) and revision surgery (41%). The area of the flap skin paddle was significantly associated with the risk of partial flap necrosis and the need for revision surgery. CONCLUSIONS: Many through-and-through oromandibular defects can be successfully reconstructed using a fibula free flap that contains a large, bilobed skin paddle. However, wound healing complications are increased when the flap skin paddle area exceeds 300 cm2. SN - 1043-3074 UR - https://www.unboundmedicine.com/medline/citation/17315169/Bilobed_fibula_flap_for_reconstruction_of_through_and_through_oromandibular_defects_ L2 - https://doi.org/10.1002/hed.20612 DB - PRIME DP - Unbound Medicine ER -