AI Article Synopsis
- Ablative surgery for the mandible typically requires reconstruction of both the mandible and the temporomandibular joint using common techniques like fibula-free flaps.
- The authors propose a novel approach that combines free fibula flaps with metatarsal bone flaps to simultaneously reconstruct the mandibular body and condyle as a double-free flap.
- This preliminary report suggests that this new technique may offer a promising alternative for autologous reconstruction of the mandible and condyle, which has not been found in existing literature.
Article Abstract
Ablative surgery of mandible often necessitates combined reconstruction of the mandible and the temporomandibular joint. Fibula-free flaps with gap arthroplasty or osseochondral grafts are common procedures in the authors' practice. In search for a better reconstructive option free fibula flap is used together with a metatarsal bone flap for the vascular reconstruction of the mandibular body and the condyle at the same time. The 2 osseous-free flaps have been fused and used as a combined flow through double-free flap. The literature has been reviewed for other reconstructive options, but no alternatives providing autologous reconstruction of both the mandible and the condyle with vascular tissue have been found. This is a preliminary report of this new technique which the authors humbly think is very promising.
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| http://dx.doi.org/10.1097/SCS.0000000000003688 | DOI Listing |
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