Double-Barrel Fibula Vascularized Free Flap With Dental Rehabilitation for Mandibular Reconstruction

He, Yihua; Zhang, Zhi Yuan; Han, Zhaolong; Wu, Yi Bo; Fu, Hong-Ru

doi:10.1016/j.joms.2011.02.051

Cited by 79 publications

(56 citation statements)

References 26 publications

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“…30 The double-barrel technique yields excellent results 30 but could be challenging for computeraided surgery. 1,45 Despite the fact that few authors have reported on successful double-barrel reconstruction, 4,46 the method does not appear popular in the virtual surgical planning and computeraided design and modeling literature, with many authors favoring one or two osteotomies and a low-profile plate for simplified and safe reconstruction over multiple osteotomies 15 (Table 2).…”

Section: Can We Reach a Consensus On The Indications For Computer-aidmentioning

confidence: 99%

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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Virtual surgical planning and computer-aided design and computer-aided modeling are promising technologies with a growing trend in contemporary head and neck reconstruction. Segmental mandibular reconstruction with the osteoseptocutaneous fibula flap is one of the fields in which these technologies are increasingly used. Perceived benefits are increased surgical precision, improved operative efficiency, and overall good outcomes. Nevertheless, these programs do not cover the reconstruction picture of interest thoroughly, at least in the mind of the experienced surgeon. Based on extensive experience in segmental mandibular reconstruction and comprehensive literature review, the authors attempted to identify missing dots in computer-aided mandibular reconstruction; when possible, a problem-solution approach was taken. Of these dots, pedicle reach to the recipient vessels, multiple target soft-tissue reconstruction, anatomical variations and cross-section topography of the osteoseptocutaneous fibula flap, and intraoperative modification of the surgical plan were understated or not considered in the phases of virtual surgical planning and execution. Moreover, with the relatively small experience reported in computer-aided segmental mandibular reconstruction compared with the well-appreciated challenges, further discussion of what could be a realistic and safe indication was deemed necessary. Following in the footsteps of the iPhone developer of creating software satisfying to customers (i.e., surgeons) first and armed with the evidence from the literature and accumulation of experience, this Special Topic article aims to provoke a discussion among experts in this field to instigate ideological and technological reforms in computer-aided mandibular reconstruction.

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Section: Can We Reach a Consensus On The Indications For Computer-aidmentioning

confidence: 99%

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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“…Options to improve the vertical height both for the future use of osseointegrated implants and to decrease an intraoral step-off include using a double-barrel technique (by creating a midpoint osteotomy and folding the bone on itself), adding nonvascularized bony onlay grafts to the superior fibula edge, or even performing secondary vertical distraction osteogenesis. 8,9,[21][22][23] As research continues into the creation and use of scaffolds, engineered growth factors, and bone morphogenetic proteins, new options for increasing neomandibular height and/or eliminating the need for a donor site may develop in the future. Currently, however, the need for a donor site remains and the fibula donor site has been found to have the lowest donor site morbidity.…”

Section: Fowler and Futranmentioning

confidence: 99%

Utilization of Free Tissue Transfer for Pediatric Oromandibular Reconstruction

Fowler

Futran

2014

Facial Plastic Surgery Clinics of North America

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“…65 A "doublebarrel flap" or vertical distraction of the flap has been described to compensate for this limitation, although this is rarely used by our institution, in part because of modern prosthetics that compensate for bony height. [66][67][68] Of the two flap choices preferred, the iliac crest flap provides a contour that resembles the native mandible. For this reason, it is our flap of choice for limited, unilateral defects extending from the parasymphysis to the ramus.…”

Section: Mandible Reconstructionmentioning

confidence: 99%

The Fusion of Craniofacial Reconstruction and Microsurgery

Broyles

Abt

Shridharani

et al. 2014

Plastic and Reconstructive Surgery

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Craniofacial surgery, like plastic surgery, has made tremendous advancements in the past 40 years. With innovations in technology, flap design, and training, microsurgery has become safer, faster, and more commonplace than at any time in history. Reconstructive microsurgery allows the surgeon to be creative in this approach, and free tissue transfer has become a mainstay of modern craniofacial reconstruction.

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Double-Barrel Fibula Vascularized Free Flap With Dental Rehabilitation for Mandibular Reconstruction

Cited by 79 publications

References 26 publications

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Utilization of Free Tissue Transfer for Pediatric Oromandibular Reconstruction

The Fusion of Craniofacial Reconstruction and Microsurgery

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