New modified free chimeric fibular flap design for head and neck reconstruction

Tyng-Luen Roan, Shyue-Yih Horng, Jung-Hsien Hsieh, Hao-Chih Tai, Hsiung-Fei Chien, Yueh-Bih Tang

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


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.
Original languageEnglish
Pages (from-to)E231-E233
JournalHead and Neck
Issue number8
Publication statusPublished - 2013
Externally publishedYes


  • chimeric
  • free fibular flap
  • head and neck cancer
  • mandible reconstruction
  • peroneal artery flap
  • adult
  • article
  • blood vessel shunt
  • cancer surgery
  • case report
  • fasciocutaneous flap
  • fibula graft
  • head and neck reconstruction
  • head and neck surgery
  • human
  • male
  • mandible
  • mandible resection
  • mouth cancer
  • priority journal
  • skin defect
  • soft tissue
  • Adult
  • Carcinoma, Squamous Cell
  • Free Tissue Flaps
  • Head and Neck Neoplasms
  • Humans
  • Leg
  • Male
  • Middle Aged
  • Reconstructive Surgical Procedures


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