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Fibula free flap splitting for mandible reconstruction: A technical note

Journal of Maxillofacial and Oral Surgery volume 8, pages 17–18 (2009)Cite this article

Abstract

Conformation of the fibula flap to passively adapt to the remaining mandible may be indeed challenging. A review of the ‘axial splitting’ technique for fibula free flaps is presented with a novel method of osteosynthesis. Adequate mandibular angle shape is achieved by performing this type of osteotomy with a minimal use of titanium hardware for flap insetting.

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Affiliations

  1. Dept. of Oral and Maxillofacial Surgery, University Hospital, Madrid, Spain

    José María López-Arcas, M. Burgueño & J. L. Del Castillo

  2. Dept. Oral and Maxillofacial Surgery, University Hospital La Paz, Po de la Castellana 261, PO. 28046, Madrid, Spain

    José María López-Arcas

Authors
  1. José María López-Arcas
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  2. M. Burgueño
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  3. J. L. Del Castillo
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Correspondence to José María López-Arcas.

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López-Arcas, J.M., Burgueño, M. & Del Castillo, J.L. Fibula free flap splitting for mandible reconstruction: A technical note. J. Maxillofac. Oral Surg. 8, 17–18 (2009). https://doi.org/10.1007/s12663-009-0004-0

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  • DOI: https://doi.org/10.1007/s12663-009-0004-0

Keywords

  • Fibula free flap
  • Mandible reconstruction
  • Head and neck reconstruction
  • Microvascular reconstruction
  • Fibula osteotomies