Quality of Life after Free Fibula Flap Reconstruction of Segmental Mandibular Defects

Löfstrand, Jonas; Nyberg, Marcus; Karlsson, Therese; Thórarinsson, Andri; Kjeller, Göran; Lidén, Magnus; Fröjd, Victoria

doi:10.1055/s-0037-1606537

Cited by 35 publications

(24 citation statements)

References 28 publications

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“…Composite grafts of bone and soft tissue are among the most complex types of MFTT. The osteocutaneous fibula free flap is commonly performed for oral cavity tumors invading the mandible but may be associated with impaired social and role functioning . The anatomic structures encompassing the oral cavity have important aesthetic roles and figure prominently in social functions, such as mastication, swallowing, and speaking.…”

Section: Discussionmentioning

confidence: 57%

Patient-Reported Aesthetic and Psychosocial Outcomes After Microvascular Reconstruction for Head and Neck Cancer

Zebolsky

Patel

Heaton

et al. 2021

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Aesthetic outcomes are key determinants of psychosocial functioning among surgically treated patients with head and neck cancer (HNC); however, long-term aesthetic outcomes after microvascular free tissue transfer (MFTT) are not well described.OBJECTIVE To examine risk factors for impaired long-term aesthetic satisfaction and appearance-related psychosocial functioning after HNC ablation with MFTT. DESIGN, SETTING, AND PARTICIPANTSA cross-sectional, web-based survey was conducted at an academic tertiary care center.

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Section: Discussionmentioning

confidence: 57%

Patient-Reported Aesthetic and Psychosocial Outcomes After Microvascular Reconstruction for Head and Neck Cancer

Zebolsky

Patel

Heaton

et al. 2021

JAMA Otolaryngol Head Neck Surg

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“…The FFF can be shaped to almost an ideal form of the missing parts of the jaw and represents the gold standard in mandibular reconstruction [4]. Additionally, it increases the patient's quality of life after ablative cancer surgery [5,6]. The osseous FFF facilitates prosthetic rehabilitation with dental implants with stable long-term results [7,8].…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

et al. 2021

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Computed tomography angiography (CTA) is widely used in preoperative evaluation of the lower limbs’ vascular system for virtual surgical planning (VSP) of fibula free flap (FFF) for jaw reconstruction. The present retrospective clinical study analysed n = 72 computed tomography angiographies (CTA) of lower limbs for virtual surgical planning (VSP) for jaw reconstruction. The purpose of the investigation was to evaluate the morphology of the fibular bone and its vascular supply in CTA imaging, and further, the amount and distribution of periosteal branches (PB) and septo-cutaneous perforators (SCPs) of the fibular artery. A total of 144 lower limbs was assessed (mean age: 58.5 ± 15.3 years; 28 females, 38.9%; 44 males, 61.1%). The vascular system was categorized as regular (type I-A to II-C) in 140 cases (97.2%) regarding the classification by Kim. Absent anterior tibial artery (type III-A, n = 2) and posterior tibial artery (type III-B, n = 2) were detected in the left leg. Stenoses were observed mostly in the fibular artery (n = 11), once in the anterior tibial artery, and twice in the posterior tibial artery. In total, n = 361 periosteal branches (PBs) and n = 231 septo-cutaneous perforators (SCPs) were recorded. While a distribution pattern for PBs was separated into two clusters, a more tripartite distribution pattern for SCPs was found. We conclude that conventional CTA for VSP of free fibula flap (FFF) is capable of imaging and distinguishing SCPs and PBs.

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“…Definitive surgery typically involves resection of the involved bone and soft tissues. The resulting defect often requires reconstruction with vascularized non-radiated tissue, typically in the form of a free flap [22][23][24][25][26] .…”

Section: Surgical Managementmentioning

confidence: 99%

A review of advanced head and neck osteoradionecrosis

Mayland¹,

Sweeny²

2021

PAR

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Quality of Life after Free Fibula Flap Reconstruction of Segmental Mandibular Defects

Cited by 35 publications

References 28 publications

Patient-Reported Aesthetic and Psychosocial Outcomes After Microvascular Reconstruction for Head and Neck Cancer

Patient-Reported Aesthetic and Psychosocial Outcomes After Microvascular Reconstruction for Head and Neck Cancer

Computed Tomography Angiography (CTA) before Reconstructive Jaw Surgery Using Fibula Free Flap: Retrospective Analysis of Vascular Architecture

A review of advanced head and neck osteoradionecrosis

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