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http://dx.doi.org/10.7181/acfs.2020.00724

Reconstruction of a pathologic fracture following osteomyelitis of the mandible using a fibula osteocutaneous flap  

Kim, Taeki (Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Kim, Junhyung (Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Choi, Jaehoon (Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Jo, Taehee (Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Shin, Hyeong Chan (Department of Pathology, Dongsan Medical Center, Keimyung University School of Medicine)
Jeong, Woonhyeok (Department of Plastic and Reconstructive Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
Publication Information
Archives of Craniofacial Surgery / v.22, no.2, 2021 , pp. 105-109 More about this Journal
Abstract
The use of a fibula osteocutaneous flap is currently the mainstay of segmental mandibular reconstruction. This type of flap is used to treat tumors, trauma, or osteoradionecrosis of the mandible. However, a fibula osteocutaneous flap may also be a good option for reconstructing the mandible to preserve oropharyngeal function and facial appearance in cases of pathological fracture requiring extensive segmental bone resection. Chronic osteomyelitis is one of the various causes of subsequent pathologic mandibular fractures; however, it is rare, and there have been few reports using free flaps in osteomyelitis of the mandible. We share our experience with a 76-year-old patient who presented with a pathologic fracture following osteomyelitis of the mandible that was reconstructed using a fibula osteocutaneous flap after wide segmental resection.
Keywords
Fracture, spontaneous; Free tissue flaps; Mandible; Osteomyelitis;
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