@article{01601d2d9e4d4421a9ccc2e258193cb9,
title = "New modified free chimeric fibular flap design for head and neck reconstruction",
abstract = "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 {\textcopyright} 2012 Wiley Periodicals, Inc.",
keywords = "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",
author = "Tyng-Luen Roan and Shyue-Yih Horng and Jung-Hsien Hsieh and Hao-Chih Tai and Hsiung-Fei Chien and Yueh-Bih Tang",
note = "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： jhhsieh@ntuh.gov.tw 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",
year = "2013",
doi = "10.1002/hed.23049",
language = "English",
volume = "35",
pages = "E231--E233",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "John Wiley and Sons Inc.",
number = "8",
}
