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.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to International Journal of Oral and Maxillofacial SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Free tissue transfers in head and neck reconstruction: complications, outcomes and strategies for management of flap failure: analysis of 2019 flaps in single institute.Microsurgery. 2014; 34: 339-344
- Reverse-flow scapular osteocutaneous flap for head and neck reconstruction.Head Neck. 2013; 35: E171-E174
- The retrograde transverse cervical artery as a recipient vessel for free tissue transfer in complex head and neck reconstruction with a vessel-depleted neck.Microsurgery. 2017; 37: 902-909
- Extending pedicle length in free jejunal loop grafts.Br J Plast Surg. 2005; 58: 158-159
Article info
Publication history
Published online: April 30, 2022
Accepted:
April 12,
2022
Identification
Copyright
© 2022 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
