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Ossification of vascular pedicle in fibular free flaps: a report of four cases.

Abstract：

:The fibular free flap is the most widely used flap for jaw reconstruction. Flap contouring requires removal of bone excess in the proximal segment by a subperiosteal dissection, preserving vascular connections between the pedicle and the bone and leaving well vascularized periosteum attached to the vascular pedicle. Among about 100 reconstructions with fibular flaps, 4 cases were observed of abnormal ossification along the vascular pedicle. Periosteum preserves its osteogenic capability after transposition, especially in a revascularized flap; this characteristic, together with the direct contact with the bone, allows the possibility of new bone formation along the pedicle. It would appear necessary to change the technique of reducing fibular excess, with removal of periosteum together with the bone, in order to avoid the complication described.

journal_name

Int J Oral Maxillofac Surg

journal_title

International journal of oral and maxillofacial surgery

authors

Autelitano L,Colletti G,Bazzacchi R,Biglioli F

doi

10.1016/j.ijom.2008.01.023

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

669-71

issue

7

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(08)00018-0

journal_volume

37

pub_type

杂志文章

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