Mandibular reconstruction with fibula free flap: case series
Introduction: Mandibular reconstruction is a complex procedure aimed at correcting defects of the lower third of the face and achieving functional rehabilitation, including chewing and oral competence. Fibula free flap is the first choice for the reconstruction of segment defects of the adjacent man...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2020-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2693/en_v35n1a05.pdf |
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| author | Marcel Fernando Miranda Batista Lima Juan Pablo Borges Rodrigues Maricevich Jairo Zacchê de Sá Kelson Kawamura Rafael Anlicoara |
| author_facet | Marcel Fernando Miranda Batista Lima Juan Pablo Borges Rodrigues Maricevich Jairo Zacchê de Sá Kelson Kawamura Rafael Anlicoara |
| author_sort | Marcel Fernando Miranda Batista Lima |
| collection | DOAJ |
| description | Introduction: Mandibular reconstruction is a complex procedure aimed at correcting defects of the lower third of the face and achieving functional rehabilitation, including chewing and oral competence. Fibula free flap is the first choice for the reconstruction of segment defects of the adjacent mandible and soft tissue.
Methods: A retrospective clinical study was conducted from January 2005 to July 2017, analyzing the medical records of patients undergoing microsurgical reconstructions after resection of head and neck neoplasms at the plastic surgery service of the Clinical Hospital of the Federal University of Pernambuco (HC-UFPE).
Results: This study included six patients, of which three were men (50%), aged between 12 and 48 years and with a mean age of 24 years. In 83% of the cases, reconstructions were performed with osteomyocutaneous fibula free flaps (in one case, there was no need for skin island flap). We observed an adequate coverage of the large defects analyzed, with good functional and aesthetic appearance in all cases. Immediate reconstruction was performed in 83% of cases. The fibula and receptive area were prototyped in two cases.
Conclusion: Fibula free flaps are a great alternative for head and neck reconstruction. Our initial experience and literature show satisfactory results, partially restoring the shape and function of the affected areas. |
| format | Article |
| id | doaj-art-e9567f3a4d7c4dba9348f4d1d0ef8a66 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-e9567f3a4d7c4dba9348f4d1d0ef8a662025-08-20T03:57:52ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-03-013501232710.5935/2177-1235.2020RBCP0005Mandibular reconstruction with fibula free flap: case seriesMarcel Fernando Miranda Batista Lima0Juan Pablo Borges Rodrigues Maricevich1Jairo Zacchê de Sá2Kelson Kawamura3Rafael Anlicoara4Hospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE, BrazilHospital das Clínicas da Universidade Federal de Pernambuco, Recife, PE, BrazilIntroduction: Mandibular reconstruction is a complex procedure aimed at correcting defects of the lower third of the face and achieving functional rehabilitation, including chewing and oral competence. Fibula free flap is the first choice for the reconstruction of segment defects of the adjacent mandible and soft tissue. Methods: A retrospective clinical study was conducted from January 2005 to July 2017, analyzing the medical records of patients undergoing microsurgical reconstructions after resection of head and neck neoplasms at the plastic surgery service of the Clinical Hospital of the Federal University of Pernambuco (HC-UFPE). Results: This study included six patients, of which three were men (50%), aged between 12 and 48 years and with a mean age of 24 years. In 83% of the cases, reconstructions were performed with osteomyocutaneous fibula free flaps (in one case, there was no need for skin island flap). We observed an adequate coverage of the large defects analyzed, with good functional and aesthetic appearance in all cases. Immediate reconstruction was performed in 83% of cases. The fibula and receptive area were prototyped in two cases. Conclusion: Fibula free flaps are a great alternative for head and neck reconstruction. Our initial experience and literature show satisfactory results, partially restoring the shape and function of the affected areas.http://www.rbcp.org.br/export-pdf/2693/en_v35n1a05.pdfmicrosurgerymandiblesurgical flapsprinting, three-dimensionalfibulareconstructive surgical procedures |
| spellingShingle | Marcel Fernando Miranda Batista Lima Juan Pablo Borges Rodrigues Maricevich Jairo Zacchê de Sá Kelson Kawamura Rafael Anlicoara Mandibular reconstruction with fibula free flap: case series Revista Brasileira de Cirurgia Plástica microsurgery mandible surgical flaps printing, three-dimensional fibula reconstructive surgical procedures |
| title | Mandibular reconstruction with fibula free flap: case
series |
| title_full | Mandibular reconstruction with fibula free flap: case
series |
| title_fullStr | Mandibular reconstruction with fibula free flap: case
series |
| title_full_unstemmed | Mandibular reconstruction with fibula free flap: case
series |
| title_short | Mandibular reconstruction with fibula free flap: case
series |
| title_sort | mandibular reconstruction with fibula free flap case series |
| topic | microsurgery mandible surgical flaps printing, three-dimensional fibula reconstructive surgical procedures |
| url | http://www.rbcp.org.br/export-pdf/2693/en_v35n1a05.pdf |
| work_keys_str_mv | AT marcelfernandomirandabatistalima mandibularreconstructionwithfibulafreeflapcaseseries AT juanpabloborgesrodriguesmaricevich mandibularreconstructionwithfibulafreeflapcaseseries AT jairozacchedesa mandibularreconstructionwithfibulafreeflapcaseseries AT kelsonkawamura mandibularreconstructionwithfibulafreeflapcaseseries AT rafaelanlicoara mandibularreconstructionwithfibulafreeflapcaseseries |