Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
Summary:. The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have be...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004738 |
| _version_ | 1797947102576246784 |
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| author | John W. Shuck, MD Doaa F. Andejani, MD Patrick B. Garvey, MD Edward I. Chang, MD |
| author_facet | John W. Shuck, MD Doaa F. Andejani, MD Patrick B. Garvey, MD Edward I. Chang, MD |
| author_sort | John W. Shuck, MD |
| collection | DOAJ |
| description | Summary:. The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have been described, including costochondral grafts, bone grafts, and alloplastic prostheses. These nonvascularized options are rarely employed in the oncologic patient receiving postoperative radiation therapy due to high rates of resorption, nonunion, and failure. The authors describe a novel technique for mandibular and TMJ reconstruction utilizing the fibula free flap as a flow through for a medial femoral trochlea flap for vascularized mandible and condylar reconstruction. This technique provides a vascularized cartilaginous surface to articulate with the glenoid fossa, making it an attractive option for the oncologic patient undergoing postoperative radiation therapy. |
| first_indexed | 2024-04-10T21:21:26Z |
| format | Article |
| id | doaj.art-1fd70784d4d6474f8386b41addcac40c |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-10T21:21:26Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-1fd70784d4d6474f8386b41addcac40c2023-01-20T02:34:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-01-01111e473810.1097/GOX.0000000000004738202301000-00021Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through FlapsJohn W. Shuck, MD0Doaa F. Andejani, MD1Patrick B. Garvey, MD2Edward I. Chang, MD3From the Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.From the Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.From the Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.From the Department of Plastic Surgery, University of Texas M.D. Anderson Cancer Center, Houston, Tex.Summary:. The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have been described, including costochondral grafts, bone grafts, and alloplastic prostheses. These nonvascularized options are rarely employed in the oncologic patient receiving postoperative radiation therapy due to high rates of resorption, nonunion, and failure. The authors describe a novel technique for mandibular and TMJ reconstruction utilizing the fibula free flap as a flow through for a medial femoral trochlea flap for vascularized mandible and condylar reconstruction. This technique provides a vascularized cartilaginous surface to articulate with the glenoid fossa, making it an attractive option for the oncologic patient undergoing postoperative radiation therapy.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004738 |
| spellingShingle | John W. Shuck, MD Doaa F. Andejani, MD Patrick B. Garvey, MD Edward I. Chang, MD Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps Plastic and Reconstructive Surgery, Global Open |
| title | Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps |
| title_full | Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps |
| title_fullStr | Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps |
| title_full_unstemmed | Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps |
| title_short | Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps |
| title_sort | vascularized condyle reconstruction with free medial femoral trochlea and fibular flow through flaps |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004738 |
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