Fu-Chan
Wei MD, FACS
Distinguished
Chair Professor
Department
of Plastic Surgery
Chang
Gung Memorial Hospital
Chang
Gung University, College of Medicine
Vascularized bone graft has become gold standard for reconstruction
of segmental defect of the mandible. Among various donor sites, the fibula
harvested as an osteoseptocutaneous flap is the most popular one especially
when the reconstruction of intraoral lining is also needed.
With accumulation of experience, we are able to achieve not only
function with osteointegration teeth either as a primary or a secondary
procedure, but also satisfactory esthetic results, through various techniques
to overcome the inherent height discrepancy between native mandible and new
mandible reconstructed with fibula.
This presentation shall highlight all those related technical
modifications.
