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Reverse blood flow as an option in mandibular reconstruction using a two-segment fibula free flap

  • P. Šín
    Affiliations
    Department of Burns and Plastic Surgery, University Hospital Brno, Brno, Czech Republic

    Faculty of Medicine, Masaryk University, Brno, Czech Republic
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  • A. Hokynková
    Correspondence
    Correspondence to: Department of Burns and Plastic Surgery, University Hospital Brno, Jihlavská 20, 62500 Brno, Czech Republic.
    Affiliations
    Department of Burns and Plastic Surgery, University Hospital Brno, Brno, Czech Republic

    Faculty of Medicine, Masaryk University, Brno, Czech Republic
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  • Z. Daněk
    Affiliations
    Faculty of Medicine, Masaryk University, Brno, Czech Republic

    Department of Maxillofacial Surgery, University Hospital Brno, Brno, Czech Republic
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  • J. Blahák
    Affiliations
    Faculty of Medicine, Masaryk University, Brno, Czech Republic

    Department of Maxillofacial Surgery, University Hospital Brno, Brno, Czech Republic
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  • P. Pokorný
    Affiliations
    Department of Maxillofacial Surgery, University Hospital Brno, Brno, Czech Republic
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Published:April 30, 2022DOI:https://doi.org/10.1016/j.ijom.2022.04.002

      Abstract

      Microsurgical reconstruction is currently considered a method of choice for the repair of soft tissue or bony defects in head and neck surgery. This technical note presents the use of a reverse flow technique in mandibular reconstruction with two segments of fibula free flap in a patient with bilateral pseudoarthrosis. In the standard procedure, both segments of the fibula are supplied by one donor vascular pedicle with normal antegrade blood flow. The approach presented here employs reverse flow in the distal segment of the fibula using a venous graft to create two vascular independent free fibula segments. Reverse flow in mandibular reconstruction represents an alternative option to support the success of microsurgical procedures in indicated cases.

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