Long-term follow-up with mention of complications in pediatric microvascular mandibular reconstruction

被引:7
作者
Akakpo, Kenneth [1 ]
Iobst, Christopher [2 ]
Old, Matthew [4 ]
Grischkan, Jonathan [3 ,4 ]
机构
[1] Ohio State Univ, Coll Med, Columbus, OH 43201 USA
[2] Nationwide Childrens Hosp, Dept Orthoped, Columbus, OH 43205 USA
[3] Nationwide Childrens Hosp, Dept Pediat Otolaryngol, Columbus, OH 43205 USA
[4] Ohio State Univ, Wexner Med Ctr, Dept Otolaryngol Head & Neck Surg, Columbus, OH 43201 USA
关键词
Fibular free flap; Distraction osteogenesis; Mandibulectomy; Pediatric tumor; DONOR-SITE ANKLE; PROXIMAL MIGRATION; FIBULAR GRAFT; RESECTION; CHILDREN; VALGUS;
D O I
10.1016/j.ijporl.2017.12.022
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The fibular free flap has become the gold standard for mandibular reconstruction. Despite its vast array of benefits, this procedure has the potential for several complications. In the pediatric setting, the immature skeleton sets the stage for an increased risk of future skeletal abnormalities, both in the jaw, and in the donor site. Herein we describe the case of a toddler who underwent mandibular reconstruction using a fibula free flap and, years later, subsequently developed ankle instability as a result of residual fibula migration. This indicates the need for careful consideration of long-term issues in the growing pediatric skeleton prior to surgery.
引用
收藏
页码:154 / 157
页数:4
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