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Indian Journal of Plastic Surgery
Medknow Publications on behalf of Indian Journal of Plastic Surgery
ISSN: 0970-0358 EISSN: 0970-0358
Vol. 40, No. s1, 2007, pp. 28-34
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Bioline Code: pl07028
Full paper language: English
Document type: Research Article
Document available free of charge
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Indian Journal of Plastic Surgery, Vol. 40, No. s1, 2007, pp. 28-34
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Reconstruction of the mandible
Delacure, Mark
Abstract
Segmental mandibulectomy leads to a great deficit in the form and function of the patient. Vascularised bone flaps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous flaps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to fibula flap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the flap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible flap failure and steps to maintain and rehabilitate occlusion as practiced in the author′s service.
Keywords
Fibula flap, mandibular reconstruction
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© Copyright 2007 Indian Journal of Plastic Surgery. Alternative site location: http://www.ijps.org/
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