Reconstruction of the mandible

Segmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across...

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Main Author: Delacure Mark
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2007-12-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=28;epage=34;aulast=Delacure
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author Delacure Mark
author_facet Delacure Mark
author_sort Delacure Mark
collection DOAJ
description Segmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to fibula flap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the flap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible flap failure and steps to maintain and rehabilitate occlusion as practiced in the author′s service.
format Article
id doaj-art-9c8bf7199dbe434bbf1a86c78f7fe80b
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issn 0970-0358
language English
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-9c8bf7199dbe434bbf1a86c78f7fe80b2025-08-20T01:59:48ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03582007-12-0140122834Reconstruction of the mandibleDelacure MarkSegmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to fibula flap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the flap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible flap failure and steps to maintain and rehabilitate occlusion as practiced in the author′s service.http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=28;epage=34;aulast=DelacureFibula flapmandibular reconstruction
spellingShingle Delacure Mark
Reconstruction of the mandible
Indian Journal of Plastic Surgery
Fibula flap
mandibular reconstruction
title Reconstruction of the mandible
title_full Reconstruction of the mandible
title_fullStr Reconstruction of the mandible
title_full_unstemmed Reconstruction of the mandible
title_short Reconstruction of the mandible
title_sort reconstruction of the mandible
topic Fibula flap
mandibular reconstruction
url http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=12;spage=28;epage=34;aulast=Delacure
work_keys_str_mv AT delacuremark reconstructionofthemandible