유리 혈관화 비골판을 이용한 하악골 결손 재건

Free vascularized fibular flap for mandibular recontruction

The fibula was investigated as a donor site for free flap mandibular reconstruction. We have found many advantages of fibular flap over the others when used for mandibular reconstruction. It had the advantages of consistent shape, ample length, distant location to allow a two-team approach, and low donor-site morbidity. The fibular graft could be tailored to fit even major mandibular defect using wedge osteotomy. And, the fibular transplant was considered ideal for the insertion of implants to supports dental suprastructures to obtain maximal oral rehabilitation. We have used fibular graft in two cases for secondary reconstruction of left hemimandibular defect resulted from ablation surgery of squamous cell carcinoma. At least two osteotomies were performed on each graft, and miniplates were used for fixation. The results have been most encouraging with respect to function and cosmetic appearance. There have been no transplant failures and minimal donorsite morbidity.