New modified free chimeric fibular flap design for head and neck reconstruction

@article{Roan2013NewMF,
  title={New modified free chimeric fibular flap design for head and neck reconstruction},
  author={Tyng-Luen Roan and S Y Horng and Jung-Hsien Hsieh and H. C. Tai and Hsiung Fei Chien and Yueh-bih Tang},
  journal={Head \& Neck},
  year={2013},
  volume={35}
}
The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. 
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Methods Citations
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6 Citations

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A modified free chimeric osteocutaneous fibular flap design for head and neck reconstruction: Experience on a series of 10 cases
TLDR
The experience with a larger case series utilizing this new technique for mandible and adjacent soft tissue reconstruction after cancer wide excision surgery is shared and a more detailed description on these flaps harvesting procedures is described.
Obliquely‐arranged double skin paddles: A novel design to reconstruct extensive head and neck defects with a single fibula or peroneal flap
TLDR
This work presents using a single fibula or peroneal flap with the novel design of obliquely‐arranged double skin paddles to reconstruct an extensive head and neck defect.
Soft Tissue Reconstruction for Head and Neck Ablative Defects.
Reconstruction for Mandibular Implant Failure
TLDR
During follow-up, iliac bone flap reconstruction has yielded more favorable results due to its ample bone bulk and adequate soft tissue coverage, and Fibula flaps with osteotomies have been associated with an increasing incidence of malunion/nonunion and subsequent easy deformation.
Oromandibular Reconstruction With Chimeric Double-Skin Paddle Flap Based on Peroneal Vessel Axis for Synchronous Opposite Double Oral Cancer
TLDR
A chimeric flap based on the peroneal artery could provide a segment of fibular bone, 1 or 2 skin paddles, and a cuff of the flexor hallucis longus muscle simultaneously simultaneously for 1-stage reconstruction of separate oromandibular defects after tumor ablation of synchronous double oral cancer.
A Prospective Head-to-Head Comparison of Color Doppler Ultrasound and Computed Tomographic Angiography in the Preoperative Planning of Lower Extremity Perforator Flaps
TLDR
Preoperative radiologic vessel navigation is capable of offering valuable information such as the perforator’s location, diameter, and path; and information regarding the quality of theperforators, which can shorten the operative time and improve the surgical results.

References

SHOWING 1-10 OF 10 REFERENCES
Osteomyocutaneous peroneal artery–based combined flap for reconstruction of composite and en bloc mandibular defects
The osteomyocutaneous peroneal artery‐based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous…
Fibula free flap: a new method of mandible reconstruction.
  • D. Hidalgo
  • Medicine
    Plastic and reconstructive surgery
  • 1989
TLDR
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.
Fibular Osteoseptocutaneous Flap: Anatomic Study and Clinical Application
TLDR
The vascularized fibular graft has been expanded to an osteoseptocutaneous flap by including a cutaneous flap on the lateral aspect of the lower leg to meet the criteria outlined for composite tissue reconstruction of defects of the extremities.
Fibular osteoseptocutaneous flap: anatomic study and clinical application.
TLDR
The vascularized fibular graft has been expanded to an osteoseptocutaneous flap by including a cutaneous flap on the lateral aspect of the lower leg by meeting the criteria outlined for composite tissue reconstruction of defects of the extremities.
The osteocutaneous free fibula flap: is the skin paddle reliable?
TLDR
In using the osteocutaneous fibula flap, it is recommended that a cuff of soleus and flexor hallucis longus be incorporated into the flap to help ensure flap viability.
Perforators of the Lower Leg: Analysis of Perforator Locations and Clinical Application for Pedicled Perforator Flaps
TLDR
Reliable perforators from the anterior tibial, posterior tibIAL, and peroneal arteries can be found in distinct 5-cm intervals within intermuscular septa, which may aid in the design of pedicled perforator flaps of the lower leg.
Microsurgical Anatomy of the Lateral Skin Flap of the Leg
TLDR
This new lateral skin flap of the leg may be used either as a free flap or as a cutaneous flap and has been proven successful clinically.
Reconstructive Surgery: Principles, Anatomy, and Technique.
Peroneal artery flap. Reconstructive surgery: Principles, anatomy, and technique. Section 13H
  • 1997
Peroneal artery flap. Reconstructive surgery: Principles, anatomy, and technique. Section 13H. New York: Churchill Livingstone
  • 1997