TY - JOUR
T1 - New modified free chimeric fibular flap design for head and neck reconstruction
AU - Roan, Tyng-Luen
AU - Horng, Shyue-Yih
AU - Hsieh, Jung-Hsien
AU - Tai, Hao-Chih
AU - Chien, Hsiung-Fei
AU - Tang, Yueh-Bih
N1 - 被引用次數：1
Export Date: 16 March 2016
CODEN: HEANE
通訊地址: Hsieh, J.-H.; Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan; 電子郵件： [email protected]
參考文獻: Hidalgo, D.A., Fibula free flap: A new method of mandible reconstruction (1989) Plast Reconstr Surg, 84, pp. 71-79; Wei, F.C., Chen, H.C., Chuang, C.C., Noordhoff, M.S., Fibular osteoseptocutaneous flap: Anatomic study and clinical application (1986) Plast Reconstr Surg, 78, pp. 191-200; Schusterman, M.A., Reece, G.P., Miller, M.J., Harris, S., The osteocutaneous free fibula flap: Is the skin paddle reliable? (1992) Plast Reconstr Surg, 90, pp. 787-793. , discussion 794-798; Chen, Y.L., Zheng, B.G., Zhu, J.M., Microsurgical anatomy of the lateral skin flap of the leg (1985) Ann Plast Surg, 15, pp. 313-318; Schaverien, M., Saint-Cyr, M., Perforators of the lower leg: Analysis of perforator locations and clinical application for pedicled perforator flaps (2008) Plast Reconstr Surg, 122, pp. 161-170; Mathes, S.J., Nahai, F., (1997) Fibula Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13D, pp. 1353-1370. , New York: Churchill Livingstone;; Mathes, S.J., Nahai, F., (1997) Peroneal Artery Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13H, pp. 1419-1436. , New York: Churchill Livingstone;; Cheng, M.H., Saint-Cyr, M., Ali, R.S., Chang, K.P., Hao, S.P., Wei, F.C., Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects (2009) Head Neck, 31, pp. 361-370
PY - 2013
Y1 - 2013
N2 - Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright © 2012 Wiley Periodicals, Inc.
AB - Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright © 2012 Wiley Periodicals, Inc.
KW - chimeric
KW - free fibular flap
KW - head and neck cancer
KW - mandible reconstruction
KW - peroneal artery flap
KW - adult
KW - article
KW - blood vessel shunt
KW - cancer surgery
KW - case report
KW - fasciocutaneous flap
KW - fibula graft
KW - head and neck reconstruction
KW - head and neck surgery
KW - human
KW - male
KW - mandible
KW - mandible resection
KW - mouth cancer
KW - priority journal
KW - skin defect
KW - soft tissue
KW - Adult
KW - Carcinoma, Squamous Cell
KW - Free Tissue Flaps
KW - Head and Neck Neoplasms
KW - Humans
KW - Leg
KW - Male
KW - Middle Aged
KW - Reconstructive Surgical Procedures
U2 - 10.1002/hed.23049
DO - 10.1002/hed.23049
M3 - Article
SN - 1043-3074
VL - 35
SP - E231-E233
JO - Head and Neck
JF - Head and Neck
IS - 8
ER -
