Reconstruction of the mandibular condyle using the microvascular lateral femoral condyle flap

Enzinger, Simon; Bürger, Heinz; Gaggl, Alexander

doi:10.1016/j.ijom.2017.12.002

Cited by 15 publications

(23 citation statements)

References 6 publications

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“…1,18 Another advantage of the chimeric SLGA perforator flap is that in addition to bone and skin, fascia can be harvested. Reported applications of free flaps based on the SLGA include soft tissue coverage around the hand 4 , mandibular and talar reconstruction using corticoperiostal flaps, 8,9 and Achilles tendon reconstruction using a strip of vascularized iliotibial band 11 . Regardless of the indication, inclusion of a skin paddle provides the advantage of offering sufficient gliding tissue and tension-free closure as well as giving the possibility of monitoring the flap.…”

Section: Discussionmentioning

confidence: 99%

“…8 This free osteochondrous flap was applied in talar and mandibular defects as an alternative to the medial femoral condyle flap. 8,9 In addition to bone and cartilage, the presence of septocutaneous perforators allows inclusion of fascia and skin into this chimeric flap based on the SLGA. 1 This versatility, in combination with low donor site morbidity and reliable anatomy, 10,11 would facilitate the use of this flap for the reconstruction of complex defects requiring multiple tissues.…”

Section: Introductionmentioning

confidence: 99%

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Cutaneous angiosome of the chimeric SLGA perforator flap: Anatomical study and clinical considerations

Gstoettner

Mayer

Aman

et al. 2019

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cutaneous angiosome of the chimeric SLGA perforator flap: Anatomical study and clinical considerations

Gstoettner

Mayer

Aman

et al. 2019

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Periosteum from femoral condyle was the donor site that showed a wide development in clinical practice [44][45][46][47]. The lower third of the femur has a double vascularization: a branch of the femoral artery and the lateral metaphyseal artery, arising from the descending genicular artery.…”

Section: Surgical Options For Harvesting a Free Periosteal Flapmentioning

confidence: 99%

Free Periosteal Flaps with Scaffold: An Overlooked Armamentarium for Maxillary and Mandibular Reconstruction

Accorona

Gazzini

Grigolato

et al. 2021

Cancers

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Introduction: Head and neck bone reconstruction is a challenging surgical scenario. Although several strategies have been described in the literature, bone free flaps (BFFs) have become the preferred technique for large defects. Revascularized free periosteal flaps (FPFs) with support scaffold represents a possible alternative in compromised patient, BFF failure, or relapsing cancers as salvage treatment. However, only few clinical applications in head and neck are reported in literature. Purpose of the study was to systematically analyse the results of functional and oncologic maxillary and mandibular reconstruction with FPF with scaffold. Materials and Methods: A comprehensive review of the dedicated literature was performed according to the PRISMA guidelines searching on Scopus, PubMed/MEDLINE, Cochrane Library, Embase, Researchgate and Google Scholar databases using relevant keywords, phrases and medical subject headings (MeSH) terms. An excursus on the most valuable FPF’ harvesting sites was also carried out. Results: A total of 7 studies with 55 patients were included. Overall, the majority of the patients (n = 54, 98.1%) underwent an FPF reconstruction of the mandibular site. The most used technique was the radial forearm FPF with autologous frozen bone as scaffold (n = 40, 72.7%). The overall rate of complications was 43.7%. The success rate intended as scaffold integration resulted to be 74.5%. Conclusions: Maxillary and mandibular reconstruction with FPF and scaffold is a possible alternative in patient unfit for complex BFF reconstruction and it should be considered as a valid alternative in the sequential salvage surgery for locally advanced cancer. Moreover, it opens future scenarios in head and neck reconstructive surgery, as a promising tool that can be modelled to tailor complex 3D defects, with less morbidities to the donor site.

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“…Preoperative considerations regarding the reconstruction of the ascending branch and the condylar process of the mandible dealt with allogeneic and autogenic reconstruction possibilities [10][11][12]15,19,20]. Due to the age of the patient and the expected growth, a costochondral rib transplant was chosen.…”

Section: Commentarymentioning

confidence: 99%

“…The sternoclavicular joint, the iliac crest or the rib is a favored as an avascular free donor side [10,11]. Microvascular anastomosed grafts like the lateral femoral condyle flap, that is described recently, or the free fibula flap are often used in the reconstruction of TMJ in older patients [12,13].…”

Section: Introductionmentioning

confidence: 99%

Mandibular ascending branch and condyle reconstruction in adolescence by a costochondral rib graft with an observation period over 8 years

Scheller

Reich

et al. 2019

J Oral Med Oral Surg

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Introduction: The need to resect and reconstruct the condylar process of the mandible in a teenager is rare. Reconstruction strategy must be accurately assessed in terms of donor side morbidity, postoperative risks (ankylosis) and the possibility of sufficient development in a growing patient. Observation: A 14-year-old boy presented with the radiographic finding of a large cystic lesion of the right condylar process. There were no clinical symptoms as pain, a limitation of mouth opening or malocclusion. Pathohistological examination confirmed a solitary bony cyst. The resected ascending jaw and condylar process was reconstructed by a costochondral rib graft. Commentaries: Over 8 years the development of the reconstructed ascending jaw and condyle was observed. There was an undisturbed growth. The cartilaginous part of the costochondral graft remodeled to a sufficient condylar process without ankylosis, resorption or overgrowth. Conclusion: The reconstruction of the growing mandible and condylar process in an adolescent is a challenge. Observation over 8 years showed a sufficient reconstruction. Intraoperative the chondral portion of the graft has to be handled carefully to avoid a separating from the bony part. The growth potential of the costochondral rib transplant allows a functional reconstruction without substantial donor side morbidity in adolescent patients.

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Reconstruction of the mandibular condyle using the microvascular lateral femoral condyle flap

Cited by 15 publications

References 6 publications

Cutaneous angiosome of the chimeric SLGA perforator flap: Anatomical study and clinical considerations

Cutaneous angiosome of the chimeric SLGA perforator flap: Anatomical study and clinical considerations

Free Periosteal Flaps with Scaffold: An Overlooked Armamentarium for Maxillary and Mandibular Reconstruction

Mandibular ascending branch and condyle reconstruction in adolescence by a costochondral rib graft with an observation period over 8 years

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