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

• Main Authors: Mohamed Tarek Hafez (Author), Khaled Abdel Wahab (Author), Sameh Roshdy (Author), Fayez Shahatto (Author), Waleed el Nahas (Author), Mohamed El Metwally (Author), Fathy Denewer (Author), Omar Farouk (Author), Adel Denewer (Author)
• Format: Book
• Published: Archives of Otolaryngology and Rhinology - Peertechz Publications, 2016-06-28.
• Subjects: Research Article
• Online Access: Connect to this object online.

<p>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.</p>