Bone That Best Matches the Properties of the Mandible

Seikaly, Hadi; Chau, Justin; Li, Fan; Driscoll, Brian P.; Seikaly, Doree; Calhoun, Jason H.; Calhoun, Karen H.

doi:10.2310/7070.2003.41646

Cited by 29 publications

(30 citation statements)

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“…Out of several microvascular transplant options, fibular bone matches the properties of the mandible best, and its ample bone length allows reconstruction after extended resections 3,7,15,17 . Comprehensive long-term follow-up studies judged facial appearance, speech, food tolerance and deglutition to be satisfactory 9,16 .…”

mentioning

confidence: 99%

Clinical outcome and patient satisfaction after mandibular reconstruction with free fibula flaps

Hölzle¹,

Kesting²,

Hölzle³

et al. 2007

International Journal of Oral and Maxillofacial Surgery

106

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mentioning

confidence: 99%

Clinical outcome and patient satisfaction after mandibular reconstruction with free fibula flaps

Hölzle¹,

Kesting²,

Hölzle³

et al. 2007

International Journal of Oral and Maxillofacial Surgery

106

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“…Although the iliac crest, the scapula, the ribs, the metatarsals, and the radius have all been used for reconstruction of mandibular defects, the bone that best matches the biomechanical properties of the mandible is the fibula (Seikaly et al, 2003). The fibula provides up to 25 cm of solid bone (Hidalgo, 1989), which is enough to reconstruct any length of mandibular defect and is capable of supporting dental implants.…”

Section: Introductionmentioning

confidence: 99%

“…The fibula provides up to 25 cm of solid bone (Hidalgo, 1989), which is enough to reconstruct any length of mandibular defect and is capable of supporting dental implants. Furthermore, it allows the simultaneous approach of two operating teams reducing the operating time and postoperative morbidity (Seikaly et al, 2003). Today the osteocutaneous free fibular flap represents the most popular procedure in the reconstruction of composite mandibular defects.…”

Section: Introductionmentioning

confidence: 99%

Cutaneous perforators of the peroneal artery: Cadaveric study with implications in the design of the osteocutaneous free fibular flap

2009

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Bilateral dissection of 15 formalin embalmed cadaver legs was performed in order to study the anatomic pattern of the peroneal artery (PA) and its cutaneous perforating vessels (CB). The total number of CB from the PA was 125 or an average of 4.17 branches per leg. CB were distributed in the superoinferior axis between 18.25 and 84.25% of the length of the fibula and their average length was 5 +/- 1.8 cm. 86/125 (68.8%) of the CB were classified as myocutaneous branches (MC) that penetrated muscle before reaching the skin, whereas 39/125 (31.2%) were septocutaneous branches (SC) that passed through the intermuscular septum. The mean distance between the posterior border of the fibula and the site where the perforators emerged was 1.88 +/- 0.79 cm for the SC and 1.21 +/- 0.87 cm for the MC. These anatomic findings should encourage the surgeon to design the skin paddle in the boundary between the middle and the distal third of the fibular length about 2 cm behind the posterior fibular border on the posterolateral leg, where the number of CB is maximal.

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“…Fibula bones, iliac crests, and clavicles had dimensions that best matched those of the mandible. 1 The fibula is the bone that best matches the properties of the mandible.…”

Section: Discussionmentioning

confidence: 99%

“…Fibula bones, iliac crests, and clavicles had dimensions that best matches those of the mandible. 1 Out of those, the fibula is the bone that best matches the properties of the mandible. So, free fibular flaps have become the main tool of mandibular reconstruction, particularly its central part.…”

mentioning

confidence: 99%

Central arch mandibular reconstruction after surgery of oral carcinoma: an observational experience at MDACC, Houston, Texas, USA

Das

Robb

2017

Int J Res Med Sci

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Background: Reconstruction of head and neck defects in general and oro-mandibular defects in particular, represents a challenge to the head and neck reconstructive surgeon. The most common indication of oro-mandibular reconstruction remains ablative surgery for neoplastic disease of the oral cavity and oropharynx. The principal purpose was evaluation of the various methods of such reconstruction done in order to achieve the best cosmetic and functional outcome in terms of adequate mouth opening, oral competence, deglutition of semisolid to solid foods, speech intelligibility, minimum donor site morbidity and complication.Methods: The authors presented an observational work on the reconstruction of head and neck cancer after their curative excision, mostly oro-mandibular defects of various sizes ranging from 6cm to 12cm with special reference to the central arch during the first authors fellowship to MD Anderson Cancer Center (MDACC), Texas, where the second author was the supervisor.Results: The authors reported 24 reconstructions including 10 bony reconstructions. The free flap was preferred to pedicle flap for the reason of better aesthetic and functional outcome. The free fibula was mostly preferred due to its characters akin to the native mandible. Seventy-five patients were also observed in the outpatient clinic and evaluated during the follow up period for aesthetic and functional aspects, donor site morbidity, and long term complications. The first auther also evaluated that the incidence of primary closure with residual cosmetic defect in his study had come down from 28.47% before MDACC visit to only 4.38% today owing to more number of free and pedicle flaps were used.Conclusions: The free fibula was found to be the best option for mandible reconstruction overall. Observation within high volume centers however limited it may be, certainly upgraded the knowledge and working skills of the second author after he came back to his institution of Acharya Harihar Regional Cancer Center (AHRCC) in India.

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Bone That Best Matches the Properties of the Mandible

Cited by 29 publications

References 0 publications

Clinical outcome and patient satisfaction after mandibular reconstruction with free fibula flaps

Clinical outcome and patient satisfaction after mandibular reconstruction with free fibula flaps

Cutaneous perforators of the peroneal artery: Cadaveric study with implications in the design of the osteocutaneous free fibular flap

Central arch mandibular reconstruction after surgery of oral carcinoma: an observational experience at MDACC, Houston, Texas, USA

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