Iliac flap versus fibula flap in mandibular reconstruction

The Journal of Craniofacial Surgery
Massimo Politi, Corrado Toro

Abstract

The mandible is one of the important parts of the body in terms of facial appearance and function. Vascularized free bone grafts have become the criterion standard in mandible reconstruction. With flap survival rates not too much distant to 100%, the focus is now on function and aesthetics. With the various free-flap options now available, reconstruction of the mandibular defect has achieved significant improvement in both functional and aesthetic results. However, few studies have compared the results of these options. The fibula is defined as the most popular flap in mandibular reconstruction, and only in few papers iliac flaps are preferred. However, quality of life and effectiveness data are not available to support this choice. Not any previous study prospectively compared these 2 flaps. Short- and long-term results of an outcome-research study were prospectively compared in microvascular mandibular reconstruction with fibular flap and iliac crest flaps. Mean functional and quality-of-life scores were higher following iliac crest reconstructions. Fibular flap was the flap of choice in total/subtotal mandibulectomy, but it does not appear preferable in hemimandibulectomy and/or in cases of segmental mandibulectomy, if compa...Continue Reading

References

Feb 1, 1994·Plastic and Reconstructive Surgery·F C WeiM S Tsai
Jan 23, 1998·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·W BährR Wächter
Mar 16, 2000·The Laryngoscope·J F Piccirillo
Oct 19, 2001·The Journal of Arthroplasty·J R LiebermanJ G Wright

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Citations

Apr 23, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Takuya IidaIsao Koshima
Mar 26, 2013·The Journal of Craniofacial Surgery·Xiu Feng BaiGang Li
Sep 4, 2015·ANZ Journal of Surgery·Sarah LonieRamin Shayan
Jan 10, 2017·The British Journal of Oral & Maxillofacial Surgery·J S BrownA Schache
May 5, 2017·The Journal of Craniofacial Surgery·Firas Taha Ahmed, Marwa Turkey Aljeuary
Nov 1, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Quentin HennocqPauline Nicol
Dec 6, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Hongyang MaReinhilde Jacobs

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