Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
권호 표지

Fibular Free Flap Mandibular Reconstruction

유리 비골 전이술을 이용한 하악골 재건술

  • Oh, Myung-Rok (Department of Plastic and Reconstruction Surgery, College of Medicine, Chonbuk National University) ;
  • Lee, Nae-Ho (Department of Plastic and Reconstruction Surgery, College of Medicine, Chonbuk National University) ;
  • Yang, Kyung-Moo (Department of Plastic and Reconstruction Surgery, College of Medicine, Chonbuk National University)
  • 오명록 (전북대학교 의과대학 성형외과학교실) ;
  • 이내호 (전북대학교 의과대학 성형외과학교실) ;
  • 양경무 (전북대학교 의과대학 성형외과학교실)
  • Published : 1999.05.15
Download PDF
⟨ Previous Next ⟩

Abstract

The need for reconstruction of large bone, soft tissue defect of mandible has greater emphasis due to development of industry, traumatic accident and increase of tumor. The mandibular reconstruction had greatly progressed through the first and the second World Wars. The Fibular free flap by using microscope was reported in 1970 and many maxillofacial reconstructive surgeons had used. In 1988, Dr. Hidalgo first reported mandibular reconstruction by using fibular free flap. Mandibular reconstruction by using fibular free flap has several advantages. First, it provides up to 25 cm of bone, enough to reconstruct any length of mandible defect. Second, a skin island, based on a septocutaneous blood supply, is available in a size large enough to simultaneously reconstruct internal and external soft tissue defect. Third, The fibular donor site morbidity is low, fourth, it provides a esthetic effect of mandible line. And finally bone viability is good. The Fibular osteocutaneous free flap was performed after COMMANDO operation due to squamous cell cancer in oral cavity (15 cases). Therefore we report out successful operation of the mandible reconstruction by using fibular osteocutaneous free flap.

Keywords