Use of free fibula flap in patients with prior failed mandibular reconstruction

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
D D LydiattA Friedman

Abstract

The purpose of this study was to assess the efficacy of the free fibula flap in patients who had failed prior attempts at bony reconstruction. The records of all patients who had undergone free fibula reconstruction for segmental mandibular resections between 1993 and 1995 were retrospectively reviewed. Patients were divided into group I (14 patients who had failed previous bony reconstruction attempts) and group II (50 patients who had no previous reconstruction), and the two groups were compared. No statistical differences were found between group I and group II for mean age, mean hospital stay, mean intensive care unit stay, mean operating room time, mean intraoperative blood loss, mean colloid usage, or mean blood units transfused. Although group I had a statistically higher proportion of both patients with osteoradionecrosis and those receiving hyperbaric oxygen therapy (HBO), the number with a history of radiation therapy was not different in the two groups. Wound complication rates were not statistically different between groups I and II for all patients, or between those group I patients who did or did not receive HBO therapy. There was no increase in wound complications in the patients who had failed prior bony reconst...Continue Reading

References

Oct 1, 1991·Plastic and Reconstructive Surgery·M A SchustermanM E Weldon
Jul 1, 1989·Plastic and Reconstructive Surgery·D A Hidalgo
Jul 1, 1982·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R E Marx, J R Ames
May 1, 1995·Plastic and Reconstructive Surgery·J B BoydJ C Irish

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Citations

Aug 15, 2002·The British Journal of Oral & Maxillofacial Surgery·P SiegS G Hakim
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Mar 1, 2014·Maxillofacial Plastic and Reconstructive Surgery·Yuri ChoiSung-Seok Lee

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