Free fibula flap in the reconstruction of mandible: a report of six cases |
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Authors: | S. Girish Rao T. N. Aditya K. S. Gopinath Krishna Anand |
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Affiliation: | (1) Section of Plastic Surgery, Department of Surgery, Cagliari University Hospital, S.S. 554, Monserrato (CA), Italy;(2) Department of Radiology, Cagliari University Hospital, Monserrato (CA), Italy;(3) Division of Plastic Surgery, San Gallicano Institute, Rome, Italy;(4) Division of Otolaryngology, S. Giovanni Hospital, University of Cagliari, Cagliari, Italy;(5) Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, University of Melbourne, Grattan St, Parkville, 3050, Australia; |
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Abstract: | The defects secondary to surgical ablation of the mandible have far reaching consequences. Speech, respiration, mastication, deglutition and cosmesis are severely affected. Restoring these functions is a challenging task. Till the late eighties, myocutaneous flaps were the rule for mandibular reconstruction and free bone was used to restore bony continuity. In spite of the result being predictable the outcome left much to be desired. There was also a fairly regular crop of complications. Acceptable dental rehabilitation was almost non-existent. With the introduction of free flaps as a consequence of the development of the operating microscope, the field of reconstruction was revolutionized. |
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Keywords: | Free flaps Fibula Reconstruction Mandible |
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