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Flow through fibula and fasciocutaneous free flaps in oromandibular reconstruction

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The osteocutaneous fibula is a workhorse flap for oromandibular reconstruction. Skin paddles not only perform soft tissue reconstruction but also serve as a monitor for the fibula. In cases where… Click to show full abstract

The osteocutaneous fibula is a workhorse flap for oromandibular reconstruction. Skin paddles not only perform soft tissue reconstruction but also serve as a monitor for the fibula. In cases where the skin paddle cannot be harvested as desired due to variations, two challenges arise, such as fibula follow‐up and the need for a second free flap so recipient. Moreover, there may not be enough recipient vessels for the double flaps in the neck. This report aimed to address the difficulties mentioned above with the use of flow‐through free flaps in composite oromandibular reconstructions.

Keywords: free flaps; fasciocutaneous free; oromandibular reconstruction; flow fibula; reconstruction; fibula fasciocutaneous

Journal Title: Microsurgery
Year Published: 2022

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