Vascularized Free Fibula Flap for Reconstruction of Mandibular Defects
Mohammad Akheel,
Suryapratap Singh Tomar,
Anuj Bhargava
Issue:
Volume 2, Issue 6-1, December 2014
Pages:
1-5
Received:
16 May 2014
Accepted:
9 June 2014
Published:
14 June 2014
DOI:
10.11648/j.js.s.2014020601.11
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Abstract: Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects using a vascularized free fibular flap. The mandible was resected for ameloblastoma in 4 cases, squamous cell carcinoma in 1 case, odontogenic keratocysts in 3 cases and ossifying fibroma in 2 cases. The type of reconstruction performed was primary in 9 patients in which osseous fibula flap was used and secondary in 1 patient in which osseocutaneous flap was used. Results: There were 10 patients which include 5 males and 5 females within age group of 20 to 50 years with mean age of 35 years. All flaps survived except in 1 patient who had donor site morbidity. Flap perfusion was seen immediately after anastomosis and was maintained throughout the follow-up period of minimum 6 months. All patients were kept in nasogastric feeding for 5 days and then began oral feeding and walking with some aid in 2nd week and became completely ambulant in 4th week postoperatively. Conclusion: In our study, we conclude that vascularized free fibula flap is a versatile option for reconstruction of large mandibular defects with its good quality and quantity of bone and ease of manipulation to restore the original anatomy of the mandible and permit implant based prosthetic rehabilitation.
Abstract: Objective: To assess the versatility of vascularized free fibula flap in reconstruction of various defects of mandible. Study Design: Prospective study. Duration of Study: March 2009 to March 2012. Methodology: The study group consisted of 10 patients who underwent resection of mandible for various reasons and reconstruction of continuity defects u...
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Head Injury by Bear Mauling: A Case Report
Shadab Ali Baig,
Swati Saraswata Acharya,
Satyabrata Patnaik,
Mohammad Akheel
Issue:
Volume 2, Issue 6-1, December 2014
Pages:
6-8
Received:
26 July 2014
Accepted:
30 September 2014
Published:
26 November 2014
DOI:
10.11648/j.js.s.2014020601.12
Downloads:
Views:
Abstract: Animal bites posses a great challenge for the surgeon to restore back what is normal. These attacks occur to be sudden and cause a life threatening injuries. They even cause facial disfigurement with distressing physical and psychological consequences. This manuscript reports a case of 65 year old man who was mauled by bear and also illustrates about the myths and management of head injury by bear attacks. Bear inflicted head injuries are rare and very few reported in literature. The wound was managed by a local scalp flap with restoration of esthetics.
Abstract: Animal bites posses a great challenge for the surgeon to restore back what is normal. These attacks occur to be sudden and cause a life threatening injuries. They even cause facial disfigurement with distressing physical and psychological consequences. This manuscript reports a case of 65 year old man who was mauled by bear and also illustrates abo...
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