Chimeric LSMAP Double-barrel Fibula Free Flap: Goal-oriented Surgical Technique and Tips for One-stage Mandibular Reconstruction

In this study, we present a new case of segmental oro-mandibular reconstruction with fibula transplant, first described as “beveled one-and-a-half-barrel” shape, highlighting tips and tricks for not jeopardizing its vascularity and our technical considerations for adequate dental rehabilitation. A report of all reconstructive stages and secondary implant-rehabilitation phases, outlining the reliability of this new technique together with a comparative analysis of advantages and disadvantages of different reconstructive techniques for alveolar bone reconstruction, was made. This technique was applied in our hospital for a 49-year-old Caucasian woman with an aggressive recurrent ameloblastoma of the left mandible. Post-operative computed tomography with clinical intra- and extraoral photography are presented. We believe that this pictorial essay presented in our paper could be useful as a goal-oriented step-by-step highly detailed surgical guide to achieve a reliable and good shaped bone hardware for further dental rehabilitation in case of segmental posterolateral mandibular reconstruction.

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Chimeric LSMAP Double-barrel Fibula Free Flap: Goal-oriented Surgical Technique and Tips for One-stage Mandibular Reconstruction

Abstract: for having rehabilitated the patient on a fixed implant-supported prosthesis. Due to its retrospective nature, this study did not require ethical committee approval. Written informed consent for publication of clinical details and/or clinical images was obtained from the patient.

Cited by 2 publications

References 12 publications

Aesthetic and functional outcomes of microvascular reconstruction of large post-excisional defects of the mandible by using the chimeric double-barrel free fibula flap

Aesthetic and functional outcomes of microvascular reconstruction of large post-excisional defects of the mandible by using the chimeric double-barrel free fibula flap

The “Beveled One-and-a-Half-Barrel” Fibula Transplant with Virtual Surgical Planning and CT-Guided Implant Surgery for Prosthetic Rehabilitation in Posterior Mandible Defects: A Pictorial Essay

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