TY - JOUR
T1 - A modified free chimeric osteocutaneous fibular flap design for head and neck reconstruction: Experience on a series of 10 cases
AU - Roan, Tyng-Luen
AU - Chen, Chien-Chang
AU - Yu, Yen-Chen
AU - Hsieh, Jung-Hsien
AU - Horng, Shyue-Yih
AU - Tai, Hao-Chih
AU - Cheng, Nai-Chen
AU - Chien, Hsiung-Fei
AU - Tang, Yueh-Bih
N1 - 被引用次數:8
Export Date: 16 March 2016
CODEN: MSRGD
通訊地址: Horng, S.-Y.; 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., Fibular free flap: A new method of mandible reconstruction (1989) Plastic and Reconstructive Surgery, 84 (1), pp. 71-79; Fu-Chan Wei, Hung-Chi Chen, Chwei-Chin Chuang, Noordhoff, M.S., Fibular osteoseptocutaneous flap: Anatomic study and clinical application (1986) Plastic and Reconstructive Surgery, 78 (2), pp. 191-199; Schusterman, M.A., Reece, G.P., Miller, M.J., Harris, S., The osteocutaneous fibular flap: Is the skin paddle reliable? (1992) Plast Reconstr Surg, 90 (5), pp. 787-793; Wei, F.-C., Celik, N., Chen, H.-C., Cheng, M.-H., Huang, W.-C., Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects (2002) Plastic and Reconstructive Surgery, 109 (1), pp. 45-52; Balasubramanian, D., Thankappan, K., Kuriakose, M.A., Duraisamy, S., Sharan, R., Mathew, J., Sharma, M., Iyer, S., Reconstructive indications of simultaneous double free flaps in the head and neck: A case series and literature review (2012) Microsurgery., 32 (6), pp. 423-430; Chien, S.H., Hsu, H., Huang, C.C., Lee, C.Y., Chiu, C.H.M., Lin, C.M., Reconstruction of advance head and neck patients after tumor ablation with simultaneous multiple free flaps: Indications and prognosis (2012) Ann Plast Surg, 69 (6), pp. 611-615; Balasubramanian, D., Thankappan, K., Kuriakose, M.A., Duraisamy, S., Sharan, R., Mathew, J., Sharma, M., Iyer, S., Reconstructive indications of simultaneous double free flaps in head and neck: A case series and literature review (2012) Microsurgery, 32, pp. 423-430; Ersoy, B., Sönmez, A., Bayramiçli, M., Sternocleidomastoid region restoration with lateral hemisoleus muscle incorporated in free fibular flap for reconstruction of radical neck dissection and hemimandibulectomy (2011) Microsurgery, 31, pp. 401-403; Roan, T.L., Horng, S.Y., Hsieh, J.H., Tai, H.C., Chien, H.F., Tang, Y.B., New modified free chimeric fibular flap design for head and neck reconstruction (2012) Head Neck, , Jun 19 [Epub ahead of print]; Huang, Y.C., Leong, C.P., Pong, Y.P., Liu, T.Y., Kuo, Y.R., Functional assessment of donor-site morbidity after harvest of a fibula chimeric flap with a sheet of soleus muscle for mandibular composite defect reconstruction (2012) Microsurgery, 32 (1), pp. 20-25; Kuo, Y.R., Shih, H.S., Chen, C.C., Boca, R., Hsu, Y.C., Su, C.Y., Jeng, S.F., Wei, F.C., Free fibula osteocutaneous flap with soleus muscle as a chimeric flap for reconstructing mandibular segmental defect after oral cancer ablation (2010) Ann Plast Surg, 64 (6), pp. 738-742; 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 defect (2009) Head Neck, 31, pp. 361-370
PY - 2013
Y1 - 2013
N2 - Background We have previously described a modified chimeric fibular osteocutaneous flap design based on a combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap for mandible and adjacent soft tissue reconstruction. The purpose of this article is to share our experience with a larger case series utilizing this new technique for mandible and adjacent soft tissue reconstruction after cancer wide excision surgery and a more detailed description on these flaps harvesting procedures. Patients and methods Ten patients (age range from 32 to 63 years), who had segmental defect of mandible and adjacent soft tissue defect after cancer wide excision surgery, received mandible and adjacent soft tissue reconstruction based on the modified chimeric fibular flap design. Results The skin paddle based on peroneal perforators ranged from 9 cm × 3.5 cm to 10 cm × 10 cm and the mean pedicle length was 8.9 cm. Four patients underwent primary closure of the donor site. Three flap salvage procedures were performed due to vascular thrombosis and all flaps survived well. Nine patients had acceptable outer appearance, and one patient complained of cheek sunken. All patients had at least 3-cm interincisor distance during a mean of 12-month follow-up period. Conclusion The modified chimeric osteocutaneous fibula flaps were feasible design with few intermuscular septum problems during bone fixation. Furthermore, it provided larger skin paddles with few restrictions to reconstruct the cheek skin defect. © 2013 Wiley Periodicals, Inc. Microsurgery 33:439-446, 2013. Copyright © 2013 Wiley Periodicals, Inc.
AB - Background We have previously described a modified chimeric fibular osteocutaneous flap design based on a combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap for mandible and adjacent soft tissue reconstruction. The purpose of this article is to share our experience with a larger case series utilizing this new technique for mandible and adjacent soft tissue reconstruction after cancer wide excision surgery and a more detailed description on these flaps harvesting procedures. Patients and methods Ten patients (age range from 32 to 63 years), who had segmental defect of mandible and adjacent soft tissue defect after cancer wide excision surgery, received mandible and adjacent soft tissue reconstruction based on the modified chimeric fibular flap design. Results The skin paddle based on peroneal perforators ranged from 9 cm × 3.5 cm to 10 cm × 10 cm and the mean pedicle length was 8.9 cm. Four patients underwent primary closure of the donor site. Three flap salvage procedures were performed due to vascular thrombosis and all flaps survived well. Nine patients had acceptable outer appearance, and one patient complained of cheek sunken. All patients had at least 3-cm interincisor distance during a mean of 12-month follow-up period. Conclusion The modified chimeric osteocutaneous fibula flaps were feasible design with few intermuscular septum problems during bone fixation. Furthermore, it provided larger skin paddles with few restrictions to reconstruct the cheek skin defect. © 2013 Wiley Periodicals, Inc. Microsurgery 33:439-446, 2013. Copyright © 2013 Wiley Periodicals, Inc.
KW - adult
KW - artery thrombosis
KW - article
KW - cancer surgery
KW - cheek
KW - chimeric flap
KW - clinical article
KW - donor site
KW - female
KW - fibula graft
KW - follow up
KW - graft salvage
KW - head and neck surgery
KW - human
KW - male
KW - mandible
KW - mouth cancer
KW - postoperative complication
KW - priority journal
KW - skin defect
KW - skull disease
KW - soft tissue defect
KW - surgical technique
KW - vein thrombosis
KW - wide excision
KW - Adult
KW - Carcinoma, Squamous Cell
KW - Female
KW - Fibula
KW - Free Tissue Flaps
KW - Head and Neck Neoplasms
KW - Humans
KW - Male
KW - Mandibular Neoplasms
KW - Middle Aged
KW - Reconstructive Surgical Procedures
KW - Skin Transplantation
KW - Tissue and Organ Harvesting
U2 - 10.1002/micr.22123
DO - 10.1002/micr.22123
M3 - Article
SN - 0738-1085
VL - 33
SP - 439
EP - 446
JO - Microsurgery
JF - Microsurgery
IS - 6
ER -