Reconstruction of complex head and neck defects is challenging, especially when more than one soft‐tissue subunit is involved. The osteocutaneous fibular flap underwent continual evolution to improve its soft‐tissue characteristics,… Click to show full abstract
Reconstruction of complex head and neck defects is challenging, especially when more than one soft‐tissue subunit is involved. The osteocutaneous fibular flap underwent continual evolution to improve its soft‐tissue characteristics, such as including a second skin island. The purpose of this study was to evaluate outcomes regarding oromandibular reconstruction with a double‐skin paddle fibular free flap (DSPFFF) using three different techniques: central de‐epithelialized skin paddle, distally‐based double‐skin paddle (DSP), or proximally and distally‐based DSP.
               
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