Mandibular reconstruction using vascularized osteocutaneous flaps is necessary to improve functional outcomes, such as jaw movement and mastication, and aesthetics after the wide resection of the mandible . Bone grafts had been widely used for reconstruction, with the advent of microsurg ry, such as rib , metatarsal , radial , scapular , iliac , and fibular [7,8]. Using the fibula for re on truction of mandibular defects through microvascular technique was first described by Hidalgo in 1989 . This microvascular flap depends on peroneal artery and the accompanying veins. This flap is characterized by rich vascularity with a long and wide pedicle as the vascular nourishment to this bone comes through both segmental and intraosseous ways, so, it can withstand multiple osteotomies without fear from any ischemic complications . This makes reconstruction of large defects after radical tumor resection more easy.
Published on: Jun 28, 2016 Pages: 30-34