“…Kirita et al 15 and Kato et al 16 described their successful use in treating osteomyelitis of the mandible in patients with pyknodystosis. Warren et al 17 described the use of a parascapular free flap in the reconstruction of an osteomyelitic mandible in the pediatric population, whereas Head et al 18 reported the use of iliac free flaps in the management of intractable osteomyelitis in an adult patient. Because of the size and extensive nature of the disease in our 2 patients, a fibular free flap reconstruction appeared to be the best solution for resolution and reconstruction of the mandible in these cases.…”
Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.
“…Kirita et al 15 and Kato et al 16 described their successful use in treating osteomyelitis of the mandible in patients with pyknodystosis. Warren et al 17 described the use of a parascapular free flap in the reconstruction of an osteomyelitic mandible in the pediatric population, whereas Head et al 18 reported the use of iliac free flaps in the management of intractable osteomyelitis in an adult patient. Because of the size and extensive nature of the disease in our 2 patients, a fibular free flap reconstruction appeared to be the best solution for resolution and reconstruction of the mandible in these cases.…”
Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.
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