Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis
[Objective] To evaluate the diversity and flexibility of vascularized free fibular flap (FFF) for soft and hard tissue defects of the lower third of face and oromandibular reconstruction. [Methods] We collected 35 patients who underwent segmental resection of the mandible due to benign or malignant...
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Editorial Office of Journal of Oral and Maxillofacial Surgery
2023-04-01
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| Series: | Kouqiang hemian waike zazhi |
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| Online Access: | https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2023.02.008 |
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| author | SONG Lina WU Chunyue QIN Qingyan CHU Tianshu LIU Qilin |
| author_facet | SONG Lina WU Chunyue QIN Qingyan CHU Tianshu LIU Qilin |
| author_sort | SONG Lina |
| collection | DOAJ |
| description | [Objective] To evaluate the diversity and flexibility of vascularized free fibular flap (FFF) for soft and hard tissue defects of the lower third of face and oromandibular reconstruction. [Methods] We collected 35 patients who underwent segmental resection of the mandible due to benign or malignant tumors and reconstructed with vascularized FFF. The types of mandibular defects, preoperative design, methods of FFF reconstruction and categories of skin islands were analyzed. [Results] According to the COM classification, there were 6 cases of type Ⅰ, 26 cases of type Ⅱ and 3 cases of type Ⅲ. The length of the mandibular defects ranged from 4.85 cm to 17.00 cm, with an average of (8.29±2.69) cm. Among them, 28 cases were reconstructed with vascularized FFF, in which the width of the monolayer fibula was 2.16 cm in one case; 6 cases were rebuilt with folded vascularized FFF; 1 case was restored with monolayer vascularized FFF plus non‐vascularized free fibula. Therefore, totally 8 cases perfectly restored the height of the mandible. In terms of skin islands, 1 case had no skin island due to the absence of peroneal perforator, 30 cases carried 1 skin island, 4 cases carried double skin islands, the soft tissue defects were well restored. [Conclusion] The vascularized FFF has the advantage of flexibility. In addition to restoring the continuity of the mandible, it can rebuild the height of the mandible through a variety of ways. Besides, it can also carry double skin islands to repair complex soft tissue defects. |
| format | Article |
| id | doaj-art-e1025122ae4c4a968dab43bd64567a7a |
| institution | Kabale University |
| issn | 1005-4979 |
| language | zho |
| publishDate | 2023-04-01 |
| publisher | Editorial Office of Journal of Oral and Maxillofacial Surgery |
| record_format | Article |
| series | Kouqiang hemian waike zazhi |
| spelling | doaj-art-e1025122ae4c4a968dab43bd64567a7a2025-08-25T06:09:58ZzhoEditorial Office of Journal of Oral and Maxillofacial SurgeryKouqiang hemian waike zazhi1005-49792023-04-0133210411010.3969/j.issn.1005-4979.2023.02.008Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysisSONG Lina0WU Chunyue1QIN Qingyan2CHU Tianshu3LIU Qilin4The 3rd Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, ChinaThe 3rd Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, ChinaThe 3rd Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, ChinaThe 3rd Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, ChinaThe 3rd Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China[Objective] To evaluate the diversity and flexibility of vascularized free fibular flap (FFF) for soft and hard tissue defects of the lower third of face and oromandibular reconstruction. [Methods] We collected 35 patients who underwent segmental resection of the mandible due to benign or malignant tumors and reconstructed with vascularized FFF. The types of mandibular defects, preoperative design, methods of FFF reconstruction and categories of skin islands were analyzed. [Results] According to the COM classification, there were 6 cases of type Ⅰ, 26 cases of type Ⅱ and 3 cases of type Ⅲ. The length of the mandibular defects ranged from 4.85 cm to 17.00 cm, with an average of (8.29±2.69) cm. Among them, 28 cases were reconstructed with vascularized FFF, in which the width of the monolayer fibula was 2.16 cm in one case; 6 cases were rebuilt with folded vascularized FFF; 1 case was restored with monolayer vascularized FFF plus non‐vascularized free fibula. Therefore, totally 8 cases perfectly restored the height of the mandible. In terms of skin islands, 1 case had no skin island due to the absence of peroneal perforator, 30 cases carried 1 skin island, 4 cases carried double skin islands, the soft tissue defects were well restored. [Conclusion] The vascularized FFF has the advantage of flexibility. In addition to restoring the continuity of the mandible, it can rebuild the height of the mandible through a variety of ways. Besides, it can also carry double skin islands to repair complex soft tissue defects.https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2023.02.008vascularized free fibula flapmandibular defectreconstructionskin island |
| spellingShingle | SONG Lina WU Chunyue QIN Qingyan CHU Tianshu LIU Qilin Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis Kouqiang hemian waike zazhi vascularized free fibula flap mandibular defect reconstruction skin island |
| title | Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis |
| title_full | Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis |
| title_fullStr | Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis |
| title_full_unstemmed | Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis |
| title_short | Different types of vascularized free fibula flaps for the reconstruction of mandibular defects：A retrospective analysis |
| title_sort | different types of vascularized free fibula flaps for the reconstruction of mandibular defects a retrospective analysis |
| topic | vascularized free fibula flap mandibular defect reconstruction skin island |
| url | https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2023.02.008 |
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