Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications
The reconstruction of the mandible is a complex procedure because various cosmetic as well as functional challenges must be addressed, including mastication and oral competence. Many surgical techniques have been described to address these challenges, including non-vascularized bone grafts, vascularized bone grafts, and approaches related to tissue engineering. This review summarizes different modifications of the free vascularized fibula graft, which, since its introduction by Hidalgo in 1989, has become the first option for mandibular reconstruction. The fibula free flap can undergo various modifications according to the individual requirements of a particular reconstruction. Osteocutaneous flaps can be harvested for reconstruction of composite defects. 'Double-barreling' of the fibula can, for instance, enable enhanced aesthetic and functional results, as well as immediate one-stage osseointegrated dental implantation. Recently described preoperative virtual surgery planning to facilitate neomandible remodeling could guarantee good results. To conclude, the free fibula bone graft can currently be regarded as the "gold standard" for mandibular reconstruction in case of composite (inside and outside) oral cavity defects as well as a way of enabling the performance of one-stage dental implantation.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications ; volume:43 ; number:01 ; year:2016 ; pages:3-9
Archives of Plastic Surgery ; 43, Heft 01 (2016), 3-9
- Contributor
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Kokosis, George
Schmitz, Robin
Powers, David B.
Erdmann, Detlev
- DOI
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10.5999/aps.2016.43.1.3
- URN
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urn:nbn:de:101:1-2022060910375244905061
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:27 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Kokosis, George
- Schmitz, Robin
- Powers, David B.
- Erdmann, Detlev
Other Objects (12)
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Thirty-eight-year follow-up of the first patient of mandibular reconstruction with free vascularized fibula flap
The accuracy of computer-assisted primary mandibular reconstruction with vascularized bone flaps : iliac crest bone flap versus osteomyocutaneous fibula flap
Telescoping Vascularized Fibular Graft: A New Method
Evaluation of the effect of vascularized fibula graft harvesting on coronal plane alignment and functional outcomes of the lower limb
Mandibular reconstruction using an axially vascularized tissue-engineered construct
Vascularized Fibula Strut Graft Used in Neurofibromatosis Type 1–Related Kyphosis: A Case of Almost Complete Reversal of Deformity-Induced Tetraparesis
Osteofibrous dysplasia-like adamantinoma treated via intercalary segmental resection with partial cortex preservation using pedicled vascularized fibula graft: a case report
Retrograde vascularisation of fibula free flap in composite oro-mandibular reconstruction
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Early Vascularized Fibular Grafts in Infants with Congenital Pseudarthrosis
Evaluation of computer-assisted mandibular reconstruction with vascularized iliac crest bone graft compared to conventional surgery: a randomized prospective clinical trial
Length of Vascularized Fibula Graft Utilized and Union: Is There a Relationship?
Thirty-eight-year follow-up of the first patient of mandibular reconstruction with free vascularized fibula flap
The accuracy of computer-assisted primary mandibular reconstruction with vascularized bone flaps : iliac crest bone flap versus osteomyocutaneous fibula flap
Telescoping Vascularized Fibular Graft: A New Method
Evaluation of the effect of vascularized fibula graft harvesting on coronal plane alignment and functional outcomes of the lower limb
Mandibular reconstruction using an axially vascularized tissue-engineered construct
Vascularized Fibula Strut Graft Used in Neurofibromatosis Type 1–Related Kyphosis: A Case of Almost Complete Reversal of Deformity-Induced Tetraparesis
Osteofibrous dysplasia-like adamantinoma treated via intercalary segmental resection with partial cortex preservation using pedicled vascularized fibula graft: a case report
Retrograde vascularisation of fibula free flap in composite oro-mandibular reconstruction
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Early Vascularized Fibular Grafts in Infants with Congenital Pseudarthrosis
Evaluation of computer-assisted mandibular reconstruction with vascularized iliac crest bone graft compared to conventional surgery: a randomized prospective clinical trial
Length of Vascularized Fibula Graft Utilized and Union: Is There a Relationship?
Thirty-eight-year follow-up of the first patient of mandibular reconstruction with free vascularized fibula flap
The accuracy of computer-assisted primary mandibular reconstruction with vascularized bone flaps : iliac crest bone flap versus osteomyocutaneous fibula flap
Telescoping Vascularized Fibular Graft: A New Method
Evaluation of the effect of vascularized fibula graft harvesting on coronal plane alignment and functional outcomes of the lower limb
Mandibular reconstruction using an axially vascularized tissue-engineered construct
Vascularized Fibula Strut Graft Used in Neurofibromatosis Type 1–Related Kyphosis: A Case of Almost Complete Reversal of Deformity-Induced Tetraparesis
Osteofibrous dysplasia-like adamantinoma treated via intercalary segmental resection with partial cortex preservation using pedicled vascularized fibula graft: a case report
Retrograde vascularisation of fibula free flap in composite oro-mandibular reconstruction
Sternal defect reconstruction using a double-barrel vascularized free fibula flap: a case report
Early Vascularized Fibular Grafts in Infants with Congenital Pseudarthrosis