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Fibula Osteocutaneous Free Flaps for Mandible Reconstruction

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Fibula Osteocutaneous Free Flaps for Mandible Reconstruction

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    2. The Fibula Free Flap is a free tissue transfer of the fibula bone, its vascular pedicle, and possibly muscle, other soft tissue and skin from the leg to another site in the body. It has been used for multiple reconstructions. It is a microvascular procedure requiring cutting from native blood supply and re-anastamosing with a new blood supply at the recipient siteThe Fibula Free Flap is a free tissue transfer of the fibula bone, its vascular pedicle, and possibly muscle, other soft tissue and skin from the leg to another site in the body. It has been used for multiple reconstructions. It is a microvascular procedure requiring cutting from native blood supply and re-anastamosing with a new blood supply at the recipient site

    3. Taylor is credited with performing the first fibula free flap in 1975- but it was used for transfer from one leg to another Hidalgo was the first to describe the use of the flap for mandibular reconstruction Today the FFF is the most popular for mandibular reconstruction- especially for large deficitsTaylor is credited with performing the first fibula free flap in 1975- but it was used for transfer from one leg to another Hidalgo was the first to describe the use of the flap for mandibular reconstruction Today the FFF is the most popular for mandibular reconstruction- especially for large deficits

    5. Most common anatomy for the blood supply to the lower extremity is bifurcation of the popliteal artery into AT and PT arteries. The peroneal artery branches of the PT and parallels the fibula.Most common anatomy for the blood supply to the lower extremity is bifurcation of the popliteal artery into AT and PT arteries. The peroneal artery branches of the PT and parallels the fibula.

    6. This is a cross section of the lower limb. Showing the fibula and other muscles that can be used in the graft. Flexor Hallicus longus or the soleus are sometimes taken with the fibula for additional soft tissue deficits. The peroneal artery is dissected from distal to proximal and then cut to serve as the vascular pedicleThis is a cross section of the lower limb. Showing the fibula and other muscles that can be used in the graft. Flexor Hallicus longus or the soleus are sometimes taken with the fibula for additional soft tissue deficits. The peroneal artery is dissected from distal to proximal and then cut to serve as the vascular pedicle

    9. A: scapula B: iliac crest C: radius D: fibulaA: scapula B: iliac crest C: radius D: fibula

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