Vertical distraction of a free vascularized fibula flap in a reconstructed hemimandible: case report.

The authors report a case of vertical distraction osteogenesis of a free revascularized fibula flap used to reconstruct an hemimandible lost as a result of a gunshot injury. The reconstruction procedure and the distraction protocol are described; clinical and radiological results are presented. The vertical discrepancy between the fibula and the native right hemimandible was corrected.

[1]  R. Schmelzle,et al.  Application of B-scan ultrasonography for analysis of callus distraction in vascularized fibular grafts of the mandible: a report of three patients. , 1997, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[2]  M. Pogrel,et al.  Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants. , 1996, Annals of plastic surgery.

[3]  I. Mataga,et al.  Functional reconstruction of a bilateral maxillectomy defect using a fibula osteocutaneous flap with osseointegrated implants. , 1995, Plastic and reconstructive surgery.

[4]  P. Stoll,et al.  Use of the "double barrel" free vascularized fibula in mandibular reconstruction. , 1998, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[5]  F. Wei,et al.  Fibula osteoseptocutaneous flap for mandible reconstruction , 1994, Microsurgery.

[6]  J Mercier,et al.  Advantages and limitations of the fibula free flap in mandibular reconstruction. , 1997, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[7]  L. Chiarini,et al.  Jaw reconstruction by free fibular transfer: emphasis on osseointegrated implants, TMJ and maxilla reconstruction , 1999, European Journal of Plastic Surgery.

[8]  W. Bähr,et al.  Blood supply of small fibula segments: an experimental study on human cadavers. , 1998, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[9]  G. Funk,et al.  Osseointegrated implants: a comparative study of bone thickness in four vascularized bone flaps. , 1993, Plastic and reconstructive surgery.

[10]  M. Pogrel,et al.  Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: An outcome analysis of primary bony union and endosseous implant success , 1999, Head & neck.

[11]  H. Yajima,et al.  Mandibular reconstruction using the double barrel fibular graft , 1995, Microsurgery.

[12]  D. Hidalgo.  Titanium miniplate fixation in free flap mandible reconstruction. , 1989 .