Introducing the Tibial–Dorsalis Pedis Osteocutaneous Shin Flap: A New Option for Oromandibular Reconstruction

  title={Introducing the Tibial–Dorsalis Pedis Osteocutaneous Shin Flap: A New Option for Oromandibular Reconstruction},
  author={Robert Stephen Mulholland and Neil Tanna and Peter David Costantino and Ashley R. Chandler and J. Brian Boyd},
  journal={Plastic and Reconstructive Surgery},
Background: The authors investigated the possibility of incorporating a well-vascularized, partial corticotomy of the anterolateral aspect of the tibia “in-series” with a dorsalis pedis fasciocutaneous free flap for oromandibular reconstruction. Methods: A cadaveric injection study was performed to characterize the vascular territory of the anterior tibial artery with regard to the surrounding osseous and soft tissue. The two-point breaking strength of the tibia (twist) was examined with… 
5 Citations
Treatment of Post-Latissimus Dorsi Flap Breast Reconstruction Pain With Continuous Paravertebral Nerve Blocks: A Retrospective Review
A larger, randomized clinical trial is warranted to fully determine the benefits of using cPVB in addition to tPVB for this procedure, as well as the length of hospital stay and opioid use, which were not statistically different between groups.
Sectioned Images and Surface Models of a Cadaver for Understanding the Dorsalis Pedis Flap
It is hoped that these state-of-the-art sectioned images, outlined images, and surface models will help students and trainees gain a better understanding of the DP flap anatomy.
Complications in oncologic mandible reconstruction: A comparative study between the osteocutaneous radial forearm and fibula free flap
The purpose of this study is to compare the late complications associated with using the OC‐RFFF versus the free fibula flap for mandibular reconstruction following oncologic segmental resection.
Complications and Outcomes of Chimeric Free Flaps: A Systematic Review
Chimeric flaps represent a viable option for reconstruction of complex head and neck defects and have complication rates similar to those of doublefree flaps and single free flaps with locoregional flap while only modestly increasing total operative time.


Reliability of the Fibular Osteocutaneous Flap for Mandibular Reconstruction: Anatomical and Surgical Confirmation
Anatomical dissections and a clinical series of mandibular reconstructions have demonstrated unequivocally that a skin flap can be reliably harvested with the fibula based purely on the septal perforators, without needing to incorporate portions of the soleus or flexor hallucis longus muscles or to perform any intramuscular dissection or anastomosis of the muscle perforator.
Mandibular Reconstruction in the Radiated Patient: The Role of Osteocutaneous Free Tissue Transfers
The evaluation of speech, oral continence, and swallowing revealed good results in all patients unless lip or tongue resection compromised function, and facial contour was excellent in metatarsal reconstructions.
Vascularized bone flaps in oromandibular reconstruction. A comparative anatomic study of bone stock from various donor sites to assess suitability for enosseous dental implants.
An anatomic study of the most commonly employed donor sites for vascularized bone in oromandibular reconstruction was conducted, finding the iliac crest was the most consistently implantable donor site, followed by the scapula, fibula, and radius.
The Osteocutaneous Scapular Flap for Mandibular and Maxillary Reconstruction
Advantages of this tissue over previous reconstructive methods include the ability to design multiple cutaneous panels on a separate vascular pedicle from the bone flap allowing improvement in three-dimensional spatial relationships for complex mandibular and maxillary reconstructions.
The Free Flap and Plate in Oromandibular Reconstruction: Long‐Term Review and Indications
Vascularized autogenous bone proved to be more successful than metallic plates used alone in terms both of reconstruction survival and of minimizing days of life lost and would now recommend plate reconstruction only in lateral defects in patients with a poor prognosis.
Immediate reconstruction of the mandible using a vascularized segment of radius.
The technique of raising a segment of vascularized radius is described and its use in immediate reconstruction of the mandible at the time of resection illustrated in a series of 14 consecutive cases.
Osseointegrated implants: a comparative study of bone thickness in four vascularized bone flaps.
In this cadaver study, the dimensions of bone available for implant placement from the iliac crest, scapula, fibula, and radius osseous flaps were measured andBone available for the safe placement of implants into theScapula flap was found in the majority of specimens.
Fibula free flap: a new method of mandible reconstruction.
  • D. Hidalgo
  • Medicine
    Plastic and reconstructive surgery
  • 1989
The fibula was investigated as a donor site for free-flap mandible reconstruction and the aesthetic result of the reconstruction was excellent in most patients, particularly in "bone only" defects.
The combined latissimus dorsi-scapular free flap in head and neck reconstruction.
The use of the combined latissimus dorsi-scapular free flap in six patients to reconstruct massive composite defects of the oral cavity, midface, and scalp is reported.