Reconstruction of the mandible

Segmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across...

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Bibliographic Details
Published in:	Indian journal of plastic surgery Vol. 40; no. 12; pp. 28 - 34
Main Author:	Delacure, Mark
Format:	Journal Article
Language:	English
Published:	Lucknow Medknow Publications and Media Pvt. Ltd 01-12-2007 Thieme Medical Publishers Inc Thieme Medical Publishers, Inc
Subjects:	Bones Care and treatment Face Fibula flap Mandible mandibular reconstruction Methods Oral surgery Physiological aspects Plastic surgery Surgery, Plastic India
Online Access:	Get full text
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Summary:	Segmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to fibula flap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the flap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible flap failure and steps to maintain and rehabilitate occlusion as practiced in the author's service.
ISSN:	0970-0358 1998-376X