The Osteomyocutaneous Free Fibula Flap in Mandibular Reconstruction
Journal Title: Interventions in Pediatric Dentistry Open Access Journal - Year 2018, Vol 1, Issue 4
Abstract
Introduction: Functional reconstruction of mandible is one of the most challenging problems in maxillofacial reconstruction in ablative defects especially after tumour surgery, with the problem becoming complicated after cases of composite tissue resection. Many composite flaps based on microvascular free tissue transfer are now used for functional reconstruction with varying success. Objectives: To determine the function, cosmesis, and complications of the free fibular flap along with morbidity of the donor site. Study Design: A descriptive clinical experimental study. Setting: Department of Plastic & Reconstructive Surgery, Dow University of Health Sciences & Dr Ruth K.M. Pfau Civil Hospital Karachi, Pakistan. Duration: From January 2015 to December 2017. Subjects: 15 patients. Methods: Data was collected through a specially designed preformed, which included a complete history, clinical examination, laboratory investigations and imaging, preoperative findings and postoperative results, complications and follow-up findings. Data was analyzed through SPSS version 21.0 Results: In this study there were 11 male patients while 4 patients were females. Average age was 46 years (range 23-65 years). In 90% of patients the tumour was Squamous cell carcinoma. “L” segment of mandible was excised in 63%, “C” segment in 20% and “H” segment in 17%. Range of mandibular defect was 7-25cm. Only 2 patients had total flap failure, 2had partial flap failure, plate exposure/extrusion was seen in 1 patient, and major Orocutaneous fistula and donor site dehiscence was noted in 1 patient. Donor site morbidity was low. Restoration of mandibular contour was acceptable in 53.3 % patients. 40% of the patients were able to consume normal diet and 53% of patients were on soft or blended diet. 9 (60%) patients had intelligible sound. Aesthetic result of the flap was good in 50% of the patients, excellent in 23% and fair in 26% of cases. Conclusion: Osteocutaneous free fibula flap for reconstruction of mandibular defect is a good choice in terms of function, cosmesis, less complications and acceptable donor site morbidity.
Authors and Affiliations
Hyder Ali, Sufyan Ahmed, Huzaifa Saeed ul Khair, Noor ul Wahab, Muhammad Ashraf Ganatra
Keywords
Related Articles
- EP ID EP576495
- DOI 10.32474/IPDOAJ.2018.01.000119
- Views 55
- Downloads 0
Management of Internal Root Resorption with Bioceramic Material on Permanent Tooth-A Case Report
Internal root resorption (IRR) is a category of pulp disease characterized by the loss of dentine as a result of the action of clastic cells stimulated by pulpal inflammation. The objective of this case report was to acc...
Primary and Permanent Dental Caries: Having Differences between Gender?
Dental caries or breakdown of teeth is one of the frequent health problems from chronic disease among children and adults. Several studies showed a higher burden of this disease in their population, statistics showed 51%...
Effects of Fluoridated and Non- Fluoridated Bleaching Agents on Bovine Surface Enamel
In the modern era, aesthetic dentistry is becoming famous. The demand of tooth bleaching is increasing day by day and it has become the treatment of choice for tooth discoloration. If there is deposition of chromatogenic...
Lymph Node Blood Vessels: Exit Route for Systemic Dissemination of Cancer
There are reports about the existence of meningeal lymphatic vessels in human and nonhuman primates (mormoset monkeys) and feasibility of noninvasively imaging and mapping them in vivo with high-resolution, clinical MRI....
Effect of Twin Block Appliance on a Growing Patient – A Case Report
Twin block appliance is very effective in a growing patient. The successful use of this appliance in the treatment of skeletal Class II malocclusion is based upon factors such as; age of patient, compliance of the patien...