Donor side preference in maxillary reconstruction with the free fibula flap Journal Article
| Authors: | Weitgasser, L.; Barton, R.; Ricketts, S.; Murray, S. S.; Matros, E.; Morrison, E. J. |
| Article Title: | Donor side preference in maxillary reconstruction with the free fibula flap |
| Abstract: | Background: The implications on the choice of donor side when using the free fibula flap for reconstruction of unilateral maxillectomy defects has not been discussed in the literature so far. Methods: A unilateral maxillectomy reconstruction was replicated using a 3D-printed skull model and fresh cadaveric dissections of left and right osteomyocutaneous fibula flaps for comparison. Detailed photo documentation was conducted to analyze and illustrate the anatomical differences of performing a reconstruction using the ipsilateral or contralateral sides and their relative benefits and risks. Results: A more favorable lie of the septum and skin paddle and flexor hallucis longus muscle is attainable depending on which donor side is used and the planned direction of the pedicle. Conclusion: This study demonstrates why it is preferable to use the ipsilateral fibula if anastomosis is to the ipsilateral facial or neck recipient vessels, or the contralateral fibula where the contralateral recipient vessels are preferred. © 2022 Lippincott Williams and Wilkins. All rights reserved. |
| Keywords: | reconstructive surgical procedures; head and neck surgery; microsurgery; transplantation; surgery; anatomy; free tissue graft; maxilla; craniofacial surgery; fibula; free flap; maxillofacial surgery; free tissue flaps; reconstructive surgery; humans; human; free fibula; fibula flap |
| Journal Title: | Journal of Craniofacial Surgery |
| Volume: | 33 |
| Issue: | 7 |
| ISSN: | 1049-2275 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2022-10-01 |
| Start Page: | 2178 |
| End Page: | 2180 |
| Language: | English |
| DOI: | 10.1097/scs.0000000000008808 |
| PUBMED: | 36201704 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 November 2022 -- Source: Scopus |
