Reconstruction of Oromandibular Defects by Vascularized Free Flaps: The Radial Forearm Free Flap and Fibular Free Flap as Major Donor Sites

González-García, Raúl; Naval-Gías, Luis; Rodríguez-Campo, F.J.; Román-Romero, Leticia

doi:10.1016/j.joms.2006.06.286

Cited by 29 publications

(17 citation statements)

References 24 publications

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“…Data was not retrieved from 37 of the 54 full‐text papers for meeting the following exclusion criteria; not using free flaps ( n = 2), not reporting a failure rate ( n = 7), using only 1 free flap harvest site ( n = 6), using an uncommon combination of free flaps ( n = 1), studying cadavers ( n = 1), studying animals ( n = 1), not reporting at least 1 failure ( n = 18), or containing data from another larger study ( n = 1) . Seventeen studies underwent data extraction and are reported in Table …”

Section: Resultsmentioning

confidence: 99%

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Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta‐analysis

et al. 2015

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Section: Resultsmentioning

confidence: 99%

“…). Fifteen studies compared the Fibula ( n = 580) and other flaps: ( n = 525) . The fibula did not have an increased risk of failure at follow‐up, when compared to other free flaps (Peto OR = 1.10; 95% CI = 0.63, 1.92, P = 0.75) (Fig.…”

Section: Resultsmentioning

confidence: 99%

Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta‐analysis

et al. 2015

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“…Other reported studies could not confirm the predictive value of tobacco use regardless of the negative influence tobacco use exerts on the general healing process. 9,22 Both operating time [12][13][14][15]23,24 and high age 5,9,10,12,25 are previously correlated with higher complications rates. Operating time partially reflects the complexity and extent of the surgical procedure and could explain the increased complication rates.…”

Section: Discussionmentioning

confidence: 99%

Complications and Risk after Mandibular Reconstruction with Fibular Free Flaps in Patients with Oral Squamous Cell Carcinoma: A Retrospective Cohort Study

Lodders

Schulten

Visscher

et al. 2016

J reconstr Microsurg

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Background We retrospectively analyzed the incidence and types of postoperative complications after mandibular continuity reconstructions with fibular free flaps (FFF) in patients with oral squamous cell carcinoma (OSCC) and identified potential risk factors for postoperative complications. Methods Data were retrieved from the medical records in the Department of Oral and Maxillofacial Surgery/Oral Pathology, VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands from April 1995 to September 2013, and were statistically analyzed. Results In this study, 85 patients were included in whom 86 FFFs were used for mandibular reconstruction. Thirty-seven patients (43%) developed ≥ 1 surgical complication and 9 patients (10.5%) developed ≥ 1 systemic complication. Three patients (3.5%) developed total flap failure and six patients (7.0%) developed partial flap failure. Surgical complications were correlated with tobacco use, partial glossectomy, type of mandibular defect, and anatomic staging. Systemic complications were associated with age > 60 years and Charlson comorbidity index > 2. Hospitalization > 30 days was associated with type of mandibular defect. Conclusions The use of the FFF for reconstructing mandibular continuity defects in OSCC patients may be associated with postoperative complications. Patients with coexisting medical conditions and anterior mandibular defects have an increased risk for developing complications. Patients who undergo segmental mandibular resection including a partial glossectomy could have a reduced risk for complications.

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“…Reconstruction of segmental defects of the mandible in the era of microvascular surgery has been largely dominated by the fibula free flap due to excellent bone stalk and length, suitable pedicle length, and the ability to two‐team the procedure . Notable drawbacks include donor site morbidity, limited bone height, lack of a large integrated soft tissue component, and inability to mobilize the soft tissue component independent of the bone.…”

Section: Introductionmentioning

confidence: 99%

Mandibular reconstruction with the scapula tip free flap

et al. 2019

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Introduction: The scapula tip free flap has been described for reconstruction of short mandible defects with extensive soft tissue needs. The versatility of this flap has not been extensively described. Methods: Retrospective case series of patients who underwent mandibulectomy and reconstruction with the scapula tip free flap from 2005 to 2016. Outcomes include bony union, complications, dental rehabilitation, and donor site morbidity. Results: A total of 120 patients were identified. Average harvested bone was 7.7 cm, with 54% undergoing one osteotomy, and 76.7% harvested as a chimeric flap. Radiographically, average inset bone was 6.6 cm. Complete or partial bony union was observed at 74.4% of proximal and 82.6% of distal osteotomies. A 95% of reconstructions met criteria for dental implants. Mean disabilities of the arm, shoulder and hand score was 21.2. Conclusions: The scapular tip is an excellent option for reconstruction of segmental mandible defects with the option of osteotomy, excellent bony union rates, low donor site morbidity, and potential for dental rehabilitation.

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Reconstruction of Oromandibular Defects by Vascularized Free Flaps: The Radial Forearm Free Flap and Fibular Free Flap as Major Donor Sites

Cited by 29 publications

References 24 publications

Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta‐analysis

Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta‐analysis

Complications and Risk after Mandibular Reconstruction with Fibular Free Flaps in Patients with Oral Squamous Cell Carcinoma: A Retrospective Cohort Study

Mandibular reconstruction with the scapula tip free flap

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