Two in one: Double free flap from a single free fibula osteocutaneous unit
In the past two decades, the advancement in the microsurgical techniques has revolutionised the reconstruction of post-oncological head and neck defects. Free fibula osteocutaneous flap (FFOCF) has been considered as the treatment of choice by many for mandible reconstruction. The improvement in the...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2012-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2012;volume=45;issue=3;spage=459;epage=465;aulast=Yadav |
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| author | Prabha S Yadav Vinay K Shankhdhar Jaiswal Dushyant Sakthipalan Selva SeethaRaman Gujjalanvar Rajendra |
| author_facet | Prabha S Yadav Vinay K Shankhdhar Jaiswal Dushyant Sakthipalan Selva SeethaRaman Gujjalanvar Rajendra |
| author_sort | Prabha S Yadav |
| collection | DOAJ |
| description | In the past two decades, the advancement in the microsurgical techniques has revolutionised the reconstruction of post-oncological head and neck defects. Free fibula osteocutaneous flap (FFOCF) has been considered as the treatment of choice by many for mandible reconstruction. The improvement in the surgical resection and adjuvant treatment has improved the survival rates even in patients with advanced cancer. Simultaneously the reconstruction is addressed towards more functional and aesthetic aspects to improve the quality of life in these patients. In this respect, a double free flap is advocated in certain cases of extensive composite oromandibular defects (COMDs). But in our institute, we have managed two such cases of extensive COMD with a single FFOCF unit - fibula bone with a skin paddle for inner lining and a perforator-based skin paddle from the proximal part of the FFOCF unit, anastomosed separately for outer cover. Compared to two separate free flaps, this method has the advantage of single donor site and reduction in reconstruction time. Though the technique of divided paddle, deepithelisation and supercharging has been mentioned for FFOCF, no such clinical cases of two free flaps from a single FFOCF unit have been mentioned in the literature. |
| format | Article |
| id | doaj-art-eaee1a86e15f45e69cadd0540ff21e65 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-eaee1a86e15f45e69cadd0540ff21e652025-08-20T03:21:10ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2012-01-0145345946510.4103/0970-0358.105942Two in one: Double free flap from a single free fibula osteocutaneous unitPrabha S YadavVinay K ShankhdharJaiswal DushyantSakthipalan Selva SeethaRamanGujjalanvar RajendraIn the past two decades, the advancement in the microsurgical techniques has revolutionised the reconstruction of post-oncological head and neck defects. Free fibula osteocutaneous flap (FFOCF) has been considered as the treatment of choice by many for mandible reconstruction. The improvement in the surgical resection and adjuvant treatment has improved the survival rates even in patients with advanced cancer. Simultaneously the reconstruction is addressed towards more functional and aesthetic aspects to improve the quality of life in these patients. In this respect, a double free flap is advocated in certain cases of extensive composite oromandibular defects (COMDs). But in our institute, we have managed two such cases of extensive COMD with a single FFOCF unit - fibula bone with a skin paddle for inner lining and a perforator-based skin paddle from the proximal part of the FFOCF unit, anastomosed separately for outer cover. Compared to two separate free flaps, this method has the advantage of single donor site and reduction in reconstruction time. Though the technique of divided paddle, deepithelisation and supercharging has been mentioned for FFOCF, no such clinical cases of two free flaps from a single FFOCF unit have been mentioned in the literature.http://www.ijps.org/article.asp?issn=0970-0358;year=2012;volume=45;issue=3;spage=459;epage=465;aulast=YadavComposite oromandibular defectdouble free flapfree fibula osteocutaneous flap |
| spellingShingle | Prabha S Yadav Vinay K Shankhdhar Jaiswal Dushyant Sakthipalan Selva SeethaRaman Gujjalanvar Rajendra Two in one: Double free flap from a single free fibula osteocutaneous unit Indian Journal of Plastic Surgery Composite oromandibular defect double free flap free fibula osteocutaneous flap |
| title | Two in one: Double free flap from a single free fibula osteocutaneous unit |
| title_full | Two in one: Double free flap from a single free fibula osteocutaneous unit |
| title_fullStr | Two in one: Double free flap from a single free fibula osteocutaneous unit |
| title_full_unstemmed | Two in one: Double free flap from a single free fibula osteocutaneous unit |
| title_short | Two in one: Double free flap from a single free fibula osteocutaneous unit |
| title_sort | two in one double free flap from a single free fibula osteocutaneous unit |
| topic | Composite oromandibular defect double free flap free fibula osteocutaneous flap |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2012;volume=45;issue=3;spage=459;epage=465;aulast=Yadav |
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