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Nuances and Pearls of the Free Fibula Osteoseptocutaneous Flap for Reconstruction of a High-Energy Ballistic Injury Mandible Defect

Sinno, Sammy, M.D.; Rodriguez, Eduardo D., M.D., D.D.S.

Plastic and Reconstructive Surgery: January 2016 - Volume 137 - Issue 1 - p 280–284
doi: 10.1097/PRS.0000000000001899
Reconstructive: Head and Neck: Video+

Summary: A clinical case demonstrating the use of a free fibula osteoseptocutaneous flap for reconstruction of a high-energy ballistic mandible defect is detailed. The surgical videos highlight key nuances and pearls of flap design, harvest, dissection, and execution of microsurgical anastomosis. Attention is also given to preoperative surgical planning and postoperative care.


New York, N.Y.

From the Wyss Department of Plastic Surgery, New York University Langone Medical Center.

Received for publication June 2, 2015; accepted August 24, 2015.

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Disclosure:The authors have no conflicts of interest to disclose.

Eduardo D. Rodriguez, M.D., D.D.S., Wyss Department of Plastic Surgery, New York University Langone Medical Center, 305 East 33rd Street, New York, N.Y. 10016,

©2016American Society of Plastic Surgeons