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 78
- Downloads 0
The Oral and Dental Health Status in Children Under Haemodialysis
Untreated dental infection in End Stage Renal Disease (ESRD) patients can potentially contribute to morbidity and transplant rejection. There is a need for detailed assessment and provision of good dental care following...
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...
Importance of Tooth Brushing in Pediatrics-A Short Review
A poor oral hygiene or any oral disease affects the oral health and then ultimately the general health of a person which in return influences the overall appearance of a person. Thus it is very important to take a good c...
Oral Mucosal Lesions in Children
Soft tissue lesions of the oral cavity are common in children, have various clinical presentations as colored lesions, mucosal ulceration or Nodular lesions and so. Some are a symptomatic and some are symptomatic or even...
Compound Odontoma in Maxillary Anterior Region
Odontomas are most common hamartomatous developmental malformations. They can be differentiated into compound and complex type based on the level of organization of the tissues. Majority of odontomas are asymptomatic how...