Skip Navigation LinksHome > January 2014 - Volume 133 - Issue 1 > Chimeric Lateral Supramalleolar Artery Perforator Fibula Fre...
Plastic & Reconstructive Surgery:
doi: 10.1097/01.prs.0000435845.33670.64
Reconstructive: Head and Neck: Ideas and Innovations

Chimeric Lateral Supramalleolar Artery Perforator Fibula Free Flap in the Reconstruction of Composite Head and Neck Defects

Massarelli, Olindo M.D., Ph.D.; Gobbi, Roberta M.D., Ph.D.; Biglio, Andrea D.D.S.; Soma, Damiano M.D.; Tullio, Antonio M.D.

Coding Perspective
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Abstract

Summary: The authors evaluate the use of an osteomyocutaneous fibula free flap, combined in a chimeric fashion, with a lateral supramalleolar flap, in 10 patients with composite head and neck defects. All reconstructions were performed successfully. With the exception of one patient who died after disease recurrence, all patients were decannulated and resumed an oral diet. Speech intelligibility was good in seven of 10 patients. Dental implants were used in two of 10 patients, with a total of 10 fixtures placed successfully. The donor site healed without complications in all except one case, where necrosis of the skin graft occurred with fungal infection. The chimeric lateral supramalleolar artery perforator fibula free flap may be a valid option for maximizing the quality of life in patients with composite oromandibular defects.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

©2014American Society of Plastic Surgeons

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