• We report on a case of acute compartment syndrome (ACS) in a 22-year-old male, following fibula flap harvest for mandibular reconstruction and arising after post-ischemic reperfusion damage. (nih.gov)
  • Examples: pectoralis major myocutaneous (PMMC) flap and deltopectoral (DP) flap for head and neck defects, and latissimus dorsi (LD) flap and traverse rectus abdominal muscle (TRAM) flap for breast reconstruction. (wikipedia.org)
  • For citation: Grachev N.S., Gorozhanina A.I., Petrovsky Y.V., Zyabkin I.V., Yunusov A.S., Vorozhtsov I.N., Babaskina N.V. Vascularized fibula flap reconstruction of the maxilla after juvenile ossifying fibroma removal. (hnj.science)
  • The tumor was removed with simultaneous reconstruction of the maxillofacial defect using a vascularized fibular flap. (hnj.science)
  • Evaluation of virtual surgical planning and three-dimensional configurations for reconstruction of maxillary defects using the fibula free flap. (bvsalud.org)
  • A total of 18 patients underwent reconstruction using vascularized free flaps with or without skin paddles: 10 patients using vascularized fibular free flaps (VFFFs) and 8 patients using radial forearm free flaps (RFFFs). (pocketdentistry.com)
  • Free vascularized flap is a safe and reliable method for comprehensive functional and esthetic mandibular defect reconstruction. (pocketdentistry.com)
  • Mandible Reconstruction with Fibula Free Flap. (mayoclinic.org)
  • Delayed Reconstruction of Palatomaxillary Defect Using Fibula Free Flap. (mdpi.com)
  • Does the osteocutaneous radial forearm free flap (OCRFFF) provide equivalent functional outcomes and improved morbidity compared to the fibular free flap (FFF) in mandibular reconstruction? (enttoday.org)
  • The fasciocutaneous radial forearm free flap (FCRFFF) is the most common free flap used in head and neck reconstruction. (medscape.com)
  • Previous attempts to use an osteocutaneous radial forearm free flap (OCRFFF) for head and neck reconstruction have been associated with unacceptable donor site morbidity, most commonly fracture of the radius. (medscape.com)
  • When donor site morbidity is reduced, this free flap is a useful alternative to other currently used osteocutaneous free flaps for head and neck reconstruction. (medscape.com)
  • in 1978, the radial forearm free flap (RFFF) has become a workhorse flap in head and neck reconstruction. (medscape.com)
  • Two issues have been largely to blame for limiting surgeons' consideration of the osteocutaneous radial forearm free flap (OCRFFF) as an option for single-stage reconstruction of composite defects in the head and neck: the inadequacy of available bone and the potential for radial bone fracture. (medscape.com)
  • Common VSP Reconstruction applications include planning for maxilla/mandible reconstruction using the fibula free-flap and facial trauma. (stryker.com)
  • Biomechanical analysis of bone remodeling following mandibular reconstruction using fibula free flap. (mpg.de)
  • An international expert in complex reconstruction, microsurgery, flaps and regenerative medicine, Dr. Charles E. Butler is Tenured Professor of Plastic Surgery and the Charles B. Barker Endowed Chair in Surgery at the University of Texas MD Anderson Cancer Center. (mdanderson.org)
  • For example, surgeons are able to prescribe features like fixation hole placement and plate thickness to achieve their planned patient outcomes relative to graft placement in fibula free flap mandibular reconstruction. (orthoworld.com)
  • Sixteen patients undergoing reconstruction using simultaneous free flaps and pedicled regional flaps are presented. (mssm.edu)
  • Mucosal reconstruction was carried out using the soft-tissue component of the free flaps, whereas vascularized bone was used for mandibular reconstruction. (mssm.edu)
  • When planned and applied in a stepwise fashion, simultaneous free flaps and regional flaps are complimentary for the reconstruction of complex wounds in the head and neck. (mssm.edu)
  • Complementary 45-degree cuts provided excellent bone-to-bone contact in a free fibula reconstruction using resin guides and a jig. (elsevierpure.com)
  • The deep circumflex iliac artery bone flap provides a large concave segment of bone suitable for reconstruction of the upper extremity, lower extremity and mandible. (microsurgeon.org)
  • Although the fibula has often replaced the DCIA when bone reconstruction is necessary, especially in the mandible, the DCIA provides a large segment of cancellous bone up to 15 centimeters long and 6 centimeters wide. (microsurgeon.org)
  • More accurate and efficient osteotomies for graft insetting can be envisioned, which address the difficulty in obtaining a perfect match between the cut ends of the fibula and the mandible and the subsequent giving up of maximal bone contact.We propose a method of complementary offset osteotomies. (elsevierpure.com)
  • Results: The total surface area of apposing fibula and mandible surfaces in a conventional 90-degree cut was 103.8 T 2.05 mm2. (elsevierpure.com)
  • We retrospectively analyzed the incidence and types of postoperative complications after mandibular continuity reconstructions with fibular free flaps (FFF) in patients with oral squamous cell carcinoma (OSCC) and identified potential risk factors for postoperative complications. (amsterdamumc.org)
  • In head and neck surgery, as well as microsurgical flaps, visceral, jejunum and gastro-omental flaps, all reconstructions of the jaw and upper maxilla with fibula are conducted using software to give better results and shorter surgery times. (bellvitgehospital.cat)
  • Methods: Using previously described protocols, three-dimensional virtual reconstructions of the facial skeleton and the fibula (average, series of five) were used to simulate osteotomies at 25, 30, 45, 60, 75, and 90 degrees to the long axis of the fibula. (elsevierpure.com)
  • Complementary osteotomies were then simulated at the mandibular body just distal to the first molar in simulated free fibula reconstructions. (elsevierpure.com)
  • 5 patients were treated with fibula grafts and in 2 patients was performed the frozen mandibular graft technique. (pocketdentistry.com)
  • For fibula grafts 2 patients developed local infection successfully treated, and with the frozen mandibular graft there was no complications but it wont be possible achieve the complete rehabilitation with dental implants. (pocketdentistry.com)
  • Skin grafts and muscle flaps may also be used. (oncolink.org)
  • The orthopedist puts the bones back together, but since a huge chunk of skin and soft tissue was missing, I used muscle flaps and then skin grafts to cover it. (uchealth.org)
  • The bone may be taken from your fibula, which is the smaller of the 2 bones in your lower leg. (mskcc.org)
  • Sir Harold Gillies Flaps can contain many different combination of layers of tissue, from skin to bone (see classification section). (wikipedia.org)
  • The bone available as part of the flap is limited in length and caliber. (medscape.com)
  • Most reports describe that the optimal length of the harvested radial bone segment is 6-12 cm.[4] Significantly longer segments can be transplanted as part of the fibular osteocutaneous free flap. (medscape.com)
  • If, predominantly, bone is missing, accompanied by only a small soft tissue defect in which sensation and mobility are not likely an issue, the use of an iliac crest or fibular flap may be the best reconstructive option. (medscape.com)
  • For the most difficult situation, which is a significant defect of both components, one option is to use 2 free flaps, such as a sensate RFFF for the soft tissue and an iliac crest free flap for the bone. (medscape.com)
  • It's made from cut-up pieces of the patient's fibula, or leg bone, which he assembles like a puzzle to create a new jaw, cheek, or eye socket. (umich.edu)
  • Their goal is to build a pre-fabricated reconstructive flap using a biodegradable polymer scaffold seeded with a patient's bone and tissue cells. (umich.edu)
  • In both cases, a vascularized free fibular osteocutaneous flap was used to reconstruct the metatarsal bone defect and traumatized soft tissues so that a proximal amputation was avoided. (japmaonline.org)
  • We show that the free fibular osteoseptocutaneous flap is useful in reconstructing significant metatarsal bone defects and in avoiding amputations in this patient population. (japmaonline.org)
  • The skin component of the flap may be used to fill soft-tissue losses, and the fibula bone may be osteotomized so that more than one ray may be reconstructed. (japmaonline.org)
  • Length depends on size and position of the bone flap and skin paddle. (microsurgeon.org)
  • The fibula, in contrast, supplies only cortical bone. (microsurgeon.org)
  • In addition, when the peroneal artery inflow is not adequate, or the lower extremities have been injured, the DCIA is an excellent choice when a large block of bone is necessary in lieu of the fibula. (microsurgeon.org)
  • As the role of adjuvant radiation and chemotherapy increases, plastic and reconstructive surgeons will continue to manage defects in irradiated fields, which may decrease the chance of local flap availability and increase the demand for distant pedicled and free flaps. (medscape.com)
  • In the late 1980s and early 1990s, the use of osteocutaneous free flaps to reconstruct mandibular defects was advanced. (medscape.com)
  • complex acute fractures, and free flap surgery for soft tissue defects. (mayoclinic.org)
  • Fibula graft allows good results in small defects and frozen mandibular graft is really useful to maintain the facial anatomy in patients with oral cancer. (pocketdentistry.com)
  • Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with an intact blood supply. (wikipedia.org)
  • Flap surgery is a technique essential to plastic and reconstructive surgery. (wikipedia.org)
  • Maxillary reconstructive surgery with fibula free flaps (FFFs) is a challenging procedure for head and neck surgeons . (bvsalud.org)
  • If it works in pigs, the U-M researchers believe tissue-engineered flaps could revolutionize the field of facial reconstructive surgery. (umich.edu)
  • Once the underlying skeletal structure is in place, he adds pieces of muscle and soft tissue and then connects the flap to an artery in the neck to keep the transplanted tissue alive. (umich.edu)
  • Donor site morbidity for free fibula osteofasciocutaneous flaps has rarely been reported in the literature. (nih.gov)
  • Distant flaps are used when the donor site is far from the defect. (wikipedia.org)
  • Of the 18 patients who received vascularized free flaps, 1 (5.5%) developed osteomyelitis and 2 (11.1%) patients developed complications of the donor site. (pocketdentistry.com)
  • In sarcoma surgery, apart from flap coverage, self-transplantations of muscle with vascular and nerve anastomosis are conducted to provide function, which are being performed in both flexor and extensor muscles in the forearm using the gracilis muscle and for knee extension in cases of mass quadricep resection using the latissimus dorsi muscle. (bellvitgehospital.cat)
  • Preoperative and operative variables of interest and postoperative outcomes, including flap necrosis and flap survival length, were collected and analyzed. (thieme-connect.de)
  • Microvascular free flaps have the advantage of providing healthy, vascularized, non-irradiated tissue for recipient sites that may have been compromised by surgery, radiation, chemotherapy, or a combination of the three. (medscape.com)
  • In 1973, Daniel and Taylor reported the first free flap, the transplant of an autologous skin flap to the lower extremity using the operating microscope. (medscape.com)
  • ACS is an unexpected complication after fibula flap harvest since the three compartments of the leg are opened during surgery. (nih.gov)
  • In 1979, Ariyan described the pedicled pectoralis major myocutaneous flap. (medscape.com)
  • No total flap necrosis was observed. (thieme-connect.de)
  • Three patients (3.5%) developed total flap failure and six patients (7.0%) developed partial flap failure. (amsterdamumc.org)
  • The main goal of a flap is to maintain blood flow to tissue to maintain survival and understanding the anatomy in flap design is key to a successful flap and surgery. (wikipedia.org)
  • This robust and redundant blood supply is important in flap surgery. (wikipedia.org)
  • Methods Patients who underwent pre-expanded e-LTMC flap surgery with perfusion assessment using ICGA between June 2016 and January 2022 were identified. (thieme-connect.de)
  • Optimizing Indocyanine Green Fluorescence Angiography in Reconstructive Flap Surgery: A Systematic Review and Ex Vivo Experiments. (thieme-connect.de)
  • With our computer model, digital scans of the patient's face and fibula, and the 3-D replica of the patient's skull, we can plan the surgery in advance," Hollister explains. (umich.edu)
  • HD Fibula Flap with english subtitles Surgery performed at centre léon bérard, Lyon, France, By Dr Deneuve. (dentaltu.be)
  • In breast cancer surgery, apart from conventional microsurgical flaps (DIEP), other very complex procedures are being performed, such as one that uses excess skin and fat from the inside of the thigh. (bellvitgehospital.cat)
  • Where resection may lead to poor reconstructive outcomes, flap trimming or a second flap should be the preferred option. (thieme-connect.de)
  • We prefer a second flap, such as the groin flap, which can be harvested in the same field, often with the same vascular trunk to the groin flap and the DCIA flap. (microsurgeon.org)
  • Tissues capturing territories beyond may be insufficiently perfused, and these hypoperfused areas can lead to partial flap necrosis. (thieme-connect.de)
  • This retrospective study proposes a standardized strategy for managing the hypoperfused areas identified by ICGA in pre-expanded extended lower trapezius myocutaneous (e-LTMC) flaps. (thieme-connect.de)
  • Flaps may include skin in their construction. (wikipedia.org)
  • Skin is important for many reasons, but namely its role in thermoregulation, immune function, and blood supply aid in flap survival. (wikipedia.org)
  • Background Designing a skin flap that perfectly covers the anatomical and dynamic territories is challenging. (thieme-connect.de)
  • Regional flaps were used to reconstruct skin of the face and neck. (mssm.edu)
  • The flap can be harvested with or without a skin paddle. (microsurgeon.org)
  • The skin paddle can make the flap quite thick however, often making inset difficult. (microsurgeon.org)
  • Separating the groin from the DCIA flap provides an independent skin paddle that is thinner and easier to inset. (microsurgeon.org)
  • DCIA flap without skin paddle. (microsurgeon.org)
  • The DCIA flap relies on inflow from the vessels originating near the junction of the external iliac artery and the femoral artery at the inguinal ligament. (microsurgeon.org)
  • In 1959, Seidenberg et al described the first revascularized flaps to the head and neck, but they only gained popularity when they were re-introduced by Daniel and Taylor in 1973. (medscape.com)
  • The flap is relatively easy to harvest and can be dissected at the same time as the extirpative procedure. (medscape.com)
  • Local flaps Local flaps are created by freeing a layer of tissue and then stretching the freed layer to fill a defect. (wikipedia.org)
  • The more complex transposition flap involves rotating an adjacent piece of tissue, resulting in the creation of a new defect that must then be closed. (wikipedia.org)
  • Regional or interpolation flaps are not immediately adjacent to the defect. (wikipedia.org)
  • There were no differences in the relative survival length of the flap between cases with and without intervention for the hypoperfused areas. (thieme-connect.de)
  • Flaps have many uses in wound healing and are used when wounds are large, complex, or need tissue and bulk for successful closure. (wikipedia.org)
  • With an advancement flap, incisions are extended out parallel from the wound, creating a rectangle with one edge remaining intact. (wikipedia.org)
  • A flap is defined as a tissue that can be moved to another site and has its own blood supply. (wikipedia.org)
  • This is the least complex type of flap and includes advancement flaps, rotation flaps, and transposition flaps, in order from least to most complex. (wikipedia.org)
  • These are the most complex class of flap. (wikipedia.org)