Fibula flap reconstruction of the mandible. Medical search. Frequent questions

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)
In primary mandibular reconstruction with vascularized bone graft, it is often necessary to use lower profile plates. (aofoundation.org)
The 7x23 hole 1.5 mm Thick, Reconstruction Plate, left and right angle versions, and double angle in small, medium and large sizes have all been designed to improve concealment beneath the skin and reduce dehiscence in the mandibular region. (aofoundation.org)
Complementary osteotomies were then simulated at the mandibular body just distal to the first molar in simulated free fibula reconstructions. (elsevierpure.com)
Resin-based mandibular osteotomy guides and a complementary fibula jig were manufactured using computer-aided design. (elsevierpure.com)
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)
Costochondral rib grafts have proved useful for the reconstruction of Mandibular defect involving the temporomandibular joint (TMJ), especially in growing patients. (matlab1.com)
More recently, vascularized bone graft has become the standard for the reconstruction of large Mandibular defects, those with soft tissue defect or after radiation to the area. (matlab1.com)
The workhorse for mandibular reconstruction is the vascularized fibula free flap (FFF). (matlab1.com)
Since the beginning of the Head and Neck Surgery Team in the Regional Hospital, Concepcion, and over a 5 year period, 25 patients were treated in our department for the reconstruction of mandibular defects after tumor ablation by different techniques. (pocketdentistry.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)
Free vascularized flap is a safe and reliable method for comprehensive functional and esthetic mandibular defect reconstruction. (pocketdentistry.com)
Our results reveal that the VFFF allows good reconstruction of large mandibular defects and provides adequate support for dental implants. (pocketdentistry.com)
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)
The new MODUS 2 Mandible offers a wide range of plate designs for a variety of mandibular treatments. (medartis.com)
Oro-mandibular reconstruction, although a challenge for the head and neck reconstructive surgeon, is now reliable and highly successful with excellent long-term functional and aesthetic outcomes with the use of autogenous bone grafts. (biomedcentral.com)
Reconstruction of trauma- or mandibular oncologic defects with bony free flaps is considered the gold standard. (biomedcentral.com)
However the the optimal reconstruction of mandibular defects is still controversial in regards to reconstructive options which include the donor site selection and the timing of surgery. (biomedcentral.com)
The purpose of this study was to determine the outcome of different osseous reconstruction options using autogenous bone grafts for mandibular reconstructions. (biomedcentral.com)
Based on this study, autogenous bone grafts are a reliable treatment modality for the reconstruction of mandibular bone defects with predictable aesthetic and functional outcomes. (biomedcentral.com)
Reconstruction of mandibular defects represents a challenge to the head and neck reconstructive surgeon. (biomedcentral.com)
When undertaking mandibular reconstruction, the restoration of bony continuity alone should not be considered the measure of success. (biomedcentral.com)
The ultimate goal of mandibular reconstruction is to return the patient to their previous state of function. (biomedcentral.com)
The most common indication for mandibular reconstruction remains ablative surgery for neoplastic processes of the oral cavity and oropharynx. (biomedcentral.com)
Autogenous bone grafting is the mainstay of mandibular reconstruction [ 7 ]. (biomedcentral.com)
Mandibular reconstruction with different techniques. (sandropelo.it)

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)
The miniplates were prebent to facilitate shaping the fibula graft and to ensure its proper placement during surgery. (medihelp.life)
The calvarial bone graft is a safe and versatile option to perform a primary infraorbital rim reconstruction. (bvsalud.org)
For this reason, we will now analyze this type of graft in relation to a case in which it was used associated with a temporo-parietal fascia flap. (bvsalud.org)

A mandibulectomy is a surgery to remove all or part of your jaw (mandible). (mskcc.org)
The patient received hemiglossectomy via paramedian mandibulotomy, partial mandibulectomy and fibula osteocutaneous free flap reconstruction. (kjhno.org)
Here we discuss a pectoralis major free flap reconstruction in an arteriopath who underwent a segmental mandibulectomy and examine post-operative complications of this surgery in the elderly. (cambridgemedicine.org)
A novel simulation module for segmental mandibulectomy and mandible reconstruction using 3D models. (jefferson.edu)

Mandible reconstruction is at times necessary as a result of trauma or from segmental resection defects due to, eg, tumors. (aofoundation.org)
Osteoperiosteal free fibula flap as an effective preprosthetic reconstructive option in severe jaw atrophy and oncological resection. (sandropelo.it)
Preoperative virtual planning, including virtual maxillary resection and fibular reconstruction, was performed in all cases according to three-dimensional (3-D) radiographic and clinical findings. (bonashmedical.com)
It involves total en bloc resection of the lower extremity associated with ipsilateral hemipelvis, resulting in a large coverage defect. (bvsalud.org)

Comparison of miniplates and reconstruction plates in fibular flap reconstruction of the mandible. (wikipedia.org)
As the free vascularized fibular flap has the least resorption and failure rate, it should be the first choice for most cases of mandiblular reconstruction. (biomedcentral.com)
A printed 3-D resin model for pre-bent templates to guide the harvesting and positioning of the fibular flap during the surgery. (bonashmedical.com)
Results: Preoperative virtual planning and pre-bent template can be used to guide the harvesting and positioning of fibular flap and the forming and positioning of the individualized titanium mesh with satisfactory results. (bonashmedical.com)

Generally, if the size of a lip cancer defect exceeds 30% of the lower lip, a local flap or free flap is recommended. (bvsalud.org)
However, if the continuity defect is long it will require the segmentation of the fibula to imitate the curvatures of the Mandible by removing a wedge of the fibula bone. (matlab1.com)
Clinical examination demonstrated a severe maxillary defect and bilateral zygoma hypoplasia accompanied by nose and mandible deformities. (medihelp.life)
Delayed Reconstruction of Palatomaxillary Defect Using Fibula Free Flap. (mdpi.com)
We examined two approaches based on classical symmetry matching and digital reconstruction of the defect to form the final model for printing. (bonashmedical.com)
Reconstruction of maxillary and orbital floor defect with free fibula flap and whole individualized titanium mesh assisted by computer techniques. (bonashmedical.com)
The resultant defect raises the need for advanced reconstruction techniques. (biomedcentral.com)
The defect was repaired with a pedicled myocutaneous pectoralis major flap. (cambridgemedicine.org)

The fibula osteocutaneous flap: Concise review, goal-oriented surgical technique, and tips and tricks. (wikipedia.org)
Reliability of the fibular osteocutaneous flap for mandible reconstruction: Anatomical and surgical confirmation. (wikipedia.org)

Common VSP Reconstruction applications include planning for maxilla/mandible reconstruction using the fibula free-flap and facial trauma. (stryker.com)
UA accounts for about 6 % of ameloblastomas, and 50 % of cases occur in the second decade of life, more often in mandible than in maxilla [ 6 ]. (biomedcentral.com)
The three-dimensional computed tomography demonstrated that the maxilla was almost completely missing, the mandible was obviously asymmetry, and the zygomas were bilaterally hypoplasia as well. (medihelp.life)
Because of the severe deficiency in the midface, we decided to use a fibula osteomyocutaneous flap to rebuild a new maxilla. (medihelp.life)
To rebuild an appropriate occlusion and further improve the facial contour, we performed implantation in the reconstructed maxilla and mandible osteotomy (bilateral sagittal split ramus osteotomy). (medihelp.life)
After reconstructive surgery was completed, the patient acquired a new maxilla formed by fibula and the augmented zygomas. (medihelp.life)
Objective: To investigate the clinical application of the free fibula flap and the individualized titanium mesh, through virtual planning and guiding template to assist the reconstruction of maxilla and orbital floor defects. (bonashmedical.com)

However, defects up to 50% of the lower lip in size have been reconstructed successfully by primary closure without a local flap or free flap. (bvsalud.org)
However, bony reconstruction is needed to avoid the likely hardware failure especially in larger defects. (matlab1.com)
Some of these defects may have a soft tissue component (e.g. malignant tumors and gun shot wounds), which also need to be addressed prior to the bony reconstruction or simultaneously. (matlab1.com)
Two general categories of reconstruction techniques are available for defects of the Mandible. (matlab1.com)
The purpose of this study is to evaluate our experience with the use of different surgical alternatives in reconstruction of discontinuity defects in the mandible, after resections of malignant and aggressive odontogenic tumors. (pocketdentistry.com)
Custom implants for the reconstruction of craniofacial defects have gained importance due to better performance over their generic counterparts. (bonashmedical.com)
Lin, C. H., Wei, F. C. "One-Stage Reconstruction of Composite Bone and Soft-Tissue Defects in Traumatic Lower Extremities", Plast Reconstr Surg, 114, 1457-1466 (2004). (sukruyazar.com)
K. P. "Osteomyocutaneous Peroneal Artery Perforator Flap for Reconstruction of Composite Maxillary Defects", Head Neck, 28, 297-304 (2006). (sukruyazar.com)
Reconstruction with fillet flaps offers an adequate coverage for soft tissue defects. (bvsalud.org)

The new matrix mandible plate and screw system is intended for oral, maxillofacial surgery, trauma, reconstructive surgery, and orthognathic surgery related to the lower jaw, an anatomical structure which covers a fair amount of the daily procedures for CMF surgeons but also bears huge challenges for the developers of the system due to its complex biomechanical situation. (aofoundation.org)
Anatomical plate designs in several plate thicknesses cover the various regions in the mandible in terms of bone thickness, soft tissue coverage and stability and reduce intraoperative bending. (medartis.com)

At age 20, she had her entire left mandible removed and replaced with a titanium plate and a full flap transplant from her fibula. (rawle.com)
My left mandible became exposed around January of last year. (cancer.org)

Skin grafts and muscle flaps may also be used. (oncolink.org)

Bone reconstruction by means of autologous free bone grafts or revascularized free bone flaps was made in three cases. (mattioli1885journals.com)

This article will review recent trends in 3D modeling and custom implants in craniofacial reconstruction. (bonashmedical.com)

We designed and produced an implant guide and a special splint, which was composed of the implant guide and a mandible occlusal guide, using the computer-aided design/computer-aided manufacturing technique. (medihelp.life)
In this study we assessed the design criteria for the creation of a patient specific, whole mandible implant based on a patient's medical imaging data and 3D printing. (bonashmedical.com)
Ultimately, this technique provides a framework for the design and optimisation of a patient specific whole mandible implant. (bonashmedical.com)

Working in collaboration with 3D Systems, VSP Reconstruction is a digital planning solution for maxillofacial surgical procedures. (stryker.com)
The matrix mandible set follows the well-received mandible modular fixation system, yet responding to surgical feedback and need for a new consolidated set. (aofoundation.org)
Planning for the removal of the cancerous tissue and the reconstruction was done on a CAD/CAM suite with members of the surgical team. (renishaw.it)
This video highlights the surgical nuances of rectus abdominis myocutaneous free flap harvest. (csurgeries.com)

Donor site morbidity for free fibula osteofasciocutaneous flaps has rarely been reported in the literature. (nih.gov)
Simplicity of procedure, intact facial function and esthetic outcome with the least possible donor site morbidity are the minimum requirements of a good reconstruction. (biomedcentral.com)

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)

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)
This flap is based on the peroneal vessels (artery and 2 vena comitantes) that are one of the main three branches supplying the lower extremity and the foot, along with anterior and posterior tibial vessels. (matlab1.com)

The new matrix mandible system completes the family of previously developed craniomaxillofacial (CMF) matrix systems which are available for midface and neuro procedures, as well as an additional system focusing on orbital fracture repair. (aofoundation.org)
Postoperative analysis of osseous midface reconstructions: The value of imaging and a novel scoring system for complexity and operative success. (jefferson.edu)

Most jaw reconstructions use the leg as the donor site. (mskcc.org)
Some surgeries rebuild your jaw using a bone from a different donor site or don't use bone in your reconstruction. (mskcc.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)

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)
We manufactured resin models of a facial skeleton and a fibula bone according to computed tomography data and performed model surgery. (medihelp.life)

This angle also facilitated access of the saw to the distal mandible. (elsevierpure.com)
Reconstruction of shorter segments of the Mandible can be achieved using a single segment of the fibula, creating proximal and distal bony gaps between the fibula and the Mandible. (matlab1.com)

We diagnosed cancer recurrence because PET indicated hot uptake on mandible which was nearby previous tongue tumor site. (kjhno.org)

ACS is an unexpected complication after fibula flap harvest since the three compartments of the leg are opened during surgery. (nih.gov)

The goal of treatment ameloblastoma is to achieve complete excision and appropriate reconstruction. (9lib.co)

In contemporary practice, orofacial reconstruction of a tumour arising from the body of the mandible would often consider use of an osteocutaneous free flap. (cambridgemedicine.org)
As seen in figure 2 , the tumour is seen arising from the right body of the mandible, at lower right pre-molar sockets and invading the right cheek through to the skin of the face. (cambridgemedicine.org)

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)
Vascular anatomy of the DCIA flap. (microsurgeon.org)
The osteocutaenous fibula free flap is frequently used but lower limb vascular compromise necessitates alternative solutions. (cambridgemedicine.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)

Bone Flap Technique for Impacted Teeth Extraction and Bone Cysts Removal. (sandropelo.it)

The ideal reconstruction should re-establish oral continuity, allow for dental rehabilitation, restore sensation of the lower lip, restore facial form and cosmesis , and must withstand radiation therapy if needed. (matlab1.com)

During his tenure as the former Chief of the Plastic and Reconstructive Service at Memorial Sloan-Kettering Cancer Center in New York, Hidalgo performed the first fibula free flap for mandible (jaw) reconstruction. (wikipedia.org)
He studied endoscopic plastic surgery, microsurgery, and reconstructive breast surgery (breast reconstruction after cancer). (estetiks.net)

The vast majority of ameloblastomas arise in the mandible, and the majority of these are found in the angle and ramus region. (9lib.co)
On physical examination, there was a hard non-tender mass, mea- suring 8 cm by 5 cm arising from the right side of the mandible, involving the ramus, angle and body upto the right lower 1 st premolar tooth. (9lib.co)
Then 5 implants were inserted into the fibula bone, and bilateral sagittal split ramus osteotomy surgery was completed under the conduction of digitally designed splint. (medihelp.life)

However, it has relatively small bone thickness compared to the Mandible. (matlab1.com)

El objetivo del trabajo es mostrar la resolución de un caso poco convencional de condrosarcoma de fémur proximal y su reconstrucción de partes blandas con un método nunca antes utilizado en nuestro medio. (bvsalud.org)
Pelvic and proximal femur locations require extensive approaches with the consequent difficulty of soft tissue reconstruction. (bvsalud.org)
The objective of this study is to show the resolution of an unconventional case of chondrosarcoma of the proximal femur and its soft tissue reconstruction with a method never before used in our country. (bvsalud.org)

AccuPlate is uniquely designed to meet the needs of each patient and surgeon through a customizable mandible plating solution. (orthoworld.com)
The patient CT scan data was used to generate a 3D representation of the patient's skull, before the corrupted mandible was extracted. (bonashmedical.com)
The patient, a male in his 60s, was presented to UHW as a newly diagnosed oral cancer patient needing surgery to remove the left side of his lower jaw and reconstruction using the fibula bone from one of his legs. (renishaw.it)

Hidalgo, DA, Aesthetic improvements in free flap mandible reconstruction. (wikipedia.org)

Complementary 45-degree cuts provided excellent bone-to-bone contact in a free fibula reconstruction using resin guides and a jig. (elsevierpure.com)

This resulted in extensive facial scarring, leg scarring, loss of teeth, and the need for multiple future surgeries to complete the reconstruction with replacement of the implants and dental appliances every 10 to 15 years for the rest of her life. (rawle.com)
Five implants were placed, and the mandible was moved backward (Fig. 3). (medihelp.life)

Reconstruction after maxillary resective oncological surgery is a challenge. (bvsalud.org)

Such a procedure requires sufficient blood supply to the donor flap. (cambridgemedicine.org)

The fibula, in contrast, supplies only cortical bone. (microsurgeon.org)

1. The 7x23 hole 1.5 mm Thick, Angle Reconstruction Plate, left side. (aofoundation.org)
2. 1.5 mm Thick, Double Angle Reconstruction Plate small. (aofoundation.org)

The continuity of the mandible can be maintained with titanium reconstruction plates and screws alone. (matlab1.com)

Anatomy17

Diseases19

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment27

Psychiatry and Psychology1

Phenomena and Processes2

Humanities1

Information Science3

Health Care3

Mandibular27

Graft4

Mandibulectomy4

Resection4

Fibular flap4

Defect8

Osteocutaneous flap2

Maxilla7

Defects9

Anatomical2

Left mandible2

Muscle flaps1

Grafts1

Craniofacial reconstruction1

Implant3

Surgical4

Site morbidity2

Cancellous bone1

Vessels2

Midface2

Donor site3

Facial skeleton2

Distal2

Tumor1

Harvest1

Appropriate reconstruction1

Tumour2

Vascular3

Underwent1

Technique1

Rehabilitation1

Reconstructive2

Ramus3

Bone thickness1

Proximal3

Patient3

Aesthetic1

Resin1

Implants2

Surgery1

Procedure1

Cortical1

Plate2

Titanium1