Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases

Maxillofacial reconstruction using the archetypical free fibula flap (FFF) can be accomplished utilizing diversified plating techniques. The mini plates and the reconstruction plates or bars exhibit unique characteristics that render them potential advantages, although accompanied by a tolerable mea...

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Main Authors: Elengkumaran Sankaran, Debothiri Basu, Preetha Parthasarathy, Ronisa Swain, Ravindran Chinnasamy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_1974_24
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author Elengkumaran Sankaran
Debothiri Basu
Preetha Parthasarathy
Ronisa Swain
Ravindran Chinnasamy
author_facet Elengkumaran Sankaran
Debothiri Basu
Preetha Parthasarathy
Ronisa Swain
Ravindran Chinnasamy
author_sort Elengkumaran Sankaran
collection DOAJ
description Maxillofacial reconstruction using the archetypical free fibula flap (FFF) can be accomplished utilizing diversified plating techniques. The mini plates and the reconstruction plates or bars exhibit unique characteristics that render them potential advantages, although accompanied by a tolerable measure of disadvantages with respect to successful fixation, favorable clinical outcomes, patient comfort, recovery period, as well as early and late post-operative complications. Although there is substantial evidence on the mechanobiological role of the fixation units in the literature, only sparse data is available that compares the complication profiles of mini plates versus reconstruction bars for a stable fixation during segmental reconstructive procedures. We report here, two cases of highly successful and complication-free maxillary and mandibular reconstructions executed with mini plates as fixation units for the FFF. The intra-operative ease and favorable healing periods observed in both patients exemplify the potential advantages of mini plates as a primary fixation modality in osseous flap reconstructions, underscoring their viability as a preferred alternative to reconstruction bars in select clinical scenarios.
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institution Kabale University
issn 0976-4879
0975-7406
language English
publishDate 2025-06-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Pharmacy and Bioallied Sciences
spelling doaj-art-52171e1b622a47d6b4b7833ec9a5bf882025-08-20T03:31:39ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S2017S202010.4103/jpbs.jpbs_1974_24Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical CasesElengkumaran SankaranDebothiri BasuPreetha ParthasarathyRonisa SwainRavindran ChinnasamyMaxillofacial reconstruction using the archetypical free fibula flap (FFF) can be accomplished utilizing diversified plating techniques. The mini plates and the reconstruction plates or bars exhibit unique characteristics that render them potential advantages, although accompanied by a tolerable measure of disadvantages with respect to successful fixation, favorable clinical outcomes, patient comfort, recovery period, as well as early and late post-operative complications. Although there is substantial evidence on the mechanobiological role of the fixation units in the literature, only sparse data is available that compares the complication profiles of mini plates versus reconstruction bars for a stable fixation during segmental reconstructive procedures. We report here, two cases of highly successful and complication-free maxillary and mandibular reconstructions executed with mini plates as fixation units for the FFF. The intra-operative ease and favorable healing periods observed in both patients exemplify the potential advantages of mini plates as a primary fixation modality in osseous flap reconstructions, underscoring their viability as a preferred alternative to reconstruction bars in select clinical scenarios.https://journals.lww.com/10.4103/jpbs.jpbs_1974_24fibula flapmaxillofacial reconstructionmini plates
spellingShingle Elengkumaran Sankaran
Debothiri Basu
Preetha Parthasarathy
Ronisa Swain
Ravindran Chinnasamy
Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
Journal of Pharmacy and Bioallied Sciences
fibula flap
maxillofacial reconstruction
mini plates
title Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
title_full Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
title_fullStr Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
title_full_unstemmed Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
title_short Finesse in Maxillofacial Reconstruction: Miniplates Supported Fibula Free Flaps for Enhanced Outcomes- A Report of Two Clinical Cases
title_sort finesse in maxillofacial reconstruction miniplates supported fibula free flaps for enhanced outcomes a report of two clinical cases
topic fibula flap
maxillofacial reconstruction
mini plates
url https://journals.lww.com/10.4103/jpbs.jpbs_1974_24
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