eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery
Tissue Transfer, Fibula: Multimedia
Updated: Mar 18, 2009
Multimedia
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The fibula free flap is well suited to anterior arch defects. The complete arch can be rebuilt following shaping of the bone. |
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Fibula harvest following osteotomies. After complete dissection of the pedicle and preparation of the recipient site, the pedicle is transected. |
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Following harvest, the proximal bone is trimmed and osteotomies are performed if necessary. The reconstruction plate is used as a template for shaping the bone. |
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References
Thankappan K, Trivedi NP, Subash P, et al. Three-dimensional computed tomography-based contouring of a free fibula bone graft for mandibular reconstruction. J Oral Maxillofac Surg. Oct 2008;66(10):2185-92. [Medline].
Disa JJ, Cordeiro PG. The current role of preoperative arteriography in free fibula flaps. Plast Reconstr Surg. Sep 1998;102(4):1083-8. [Medline].
Futran ND, Wadsworth JT, Villaret D, Farwell DG. Midface reconstruction with the fibula free flap. Arch Otolaryngol Head Neck Surg. Feb 2002;128(2):161-6. [Medline].
Garrett A, Ducic Y, Athre RS, Motley T, Carpenter B. Evaluation of fibula free flap donor site morbidity. Am J Otolaryngol. Jan-Feb 2006;27(1):29-32. [Medline].
Ghaheri BA, Kim JH, Wax MK. Second osteocutaneous fibular free flaps for head and neck defects. Laryngoscope. Jun 2005;115(6):983-6. [Medline].
Hidalgo DA. Fibula free flap mandibular reconstruction. Clin Plast Surg. Jan 1994;21(1):25-35. [Medline].
Shindo M, Fong BP, Funk GF, Karnell LH. The fibula osteocutaneous flap in head and neck reconstruction: a critical evaluation of donor site morbidity. Arch Otolaryngol Head Neck Surg. Dec 2000;126(12):1467-72. [Medline].
Urken ML, Cheney ML, Sullivan MJ. Fibula free flaps. Atlas of Regional and Free Flaps for Head and Neck Reconstruction. New. York, NY: Raven Press; 1995.
Wax MK, Winslow CP, Hansen J, et al. A retrospective analysis of temporomandibular joint reconstruction with free fibula microvascular flap. Laryngoscope. Jun 2000;110(6):977-81. [Medline].
Woerdeman LA, Chaplin BJ, Griffioen FM, Bos KE. Sensate osteocutaneous fibula flap: anatomic study of the innervation pattern of the skin flap. Head Neck. Jul 1998;20(4):310-4. [Medline].
Further Reading
Keywords
fibula tissue transfer, fibula free flap, fibula, tissue transfer, tissue loss, osteocutaneous free tissue transfer, maxillary defects, mandible reconstruction






Multimedia: Tissue Transfer, Fibula