Free Hand Perforator Concept in Osteocutaneous Free Fibula Flap Through Posterior Approach

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dc.contributor.authorTiftikcioglu, Yigit Ozer
dc.contributor.authorGur, Ersin
dc.contributor.authorGurler, Tahir
dc.date.accessioned2019-10-27T11:10:04Z
dc.date.available2019-10-27T11:10:04Z
dc.date.issued2017
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: The fibula flap is a workhorse flap for bony reconstruction of oro-mandibular area and can be modified to include soft tissue for reconstruction of composite defects. However, the design of a reliable skin paddle that can be used for composite tissue reconstruction remains a challenge. The authors described the applicability of perforator concept for a more reliable free osteo-musculocutaneous fibula flap. Methods: Between 2013 and 2015, 29 patients underwent free fibula osteocutaneous flap reconstruction. Twenty-two patients have been operated due to squamous cell carcinoma and 7 patients due to gunshot injuries. Results: The mean harvesting time was 60 +/- 15 minutes. The range of width of the skin paddle was 3 to 12 cm and length was 6 to 23 cm. The range of length of bone was 5 to 18 cm. One patient had revision due to venous occlusion. All flaps have survived. Conclusion: The authors advocate approaching all components of flap individually using the perforator concept and dissection. Good exposure is mandatory for a reliable dissection. In our opinion, the posterior approach is more useful as it reveals all vascular relationships between the bone, muscle, skin paddle, and peronel vessels.en_US
dc.identifier.doi10.1097/SCS.0000000000003342en_US
dc.identifier.endpage563en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue2en_US
dc.identifier.pmid28045826en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage559en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000003342
dc.identifier.urihttps://hdl.handle.net/11454/32356
dc.identifier.volume28en_US
dc.identifier.wosWOS:000396042200096en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFree fibula flapen_US
dc.subjectmandible reconstructionen_US
dc.subjectperforator flapen_US
dc.titleFree Hand Perforator Concept in Osteocutaneous Free Fibula Flap Through Posterior Approachen_US
dc.typeArticleen_US

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