Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience

Mohamed Tarek Hafez*, Khaled Abdel Wahab, Sameh Roshdy, Fayez Shahatto, Waleed el Nahas, Mohamed El Metwally, Fathy Denewer, Omar Farouk and Adel Denewer

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.

Keywords:

Published on: Jun 28, 2016 Pages: 30-34

Full Text PDF Full Text HTML DOI: 10.17352/2455-1759.000019
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat