Early outcomes of osteofascial versus osteocutaneous fibula free flap mandibular reconstruction

被引：0

作者：

Shilo, Shahaf ^{[1
,2
,6
]}

Muhanna, Nidal ^{[1
,2
]}

Fliss, Dan M. ^{[1
,3
]}

Horowitz, Gilad ^{[1
,2
]}

Warshavsky, Anton ^{[1
,2
]}

Mansour, Jobran ^{[1
,2
]}

Ianculovici, Clariel ^{[1
,4
]}

Fliss, Ehud ^{[2
,5
]}

Barnea, Yoav ^{[2
,5
]}

Zaretski, Arik ^{[2
,5
]}

Yanko, Ravit ^{[2
,5
]}

机构：

[1] Tel Aviv Sourasky Med Ctr, Dept Otolaryngol Head & Neck Surg & Maxillofacial, Tel Aviv, Israel

[2] Tel Aviv Univ, Fac Med, Tel Aviv, Israel

[3] Univ Nicosia, Med Sch, Nicosia, Cyprus

[4] Tel Aviv Univ, Maurice & Gabriela Goldschleger Sch Dent Med, Tel Aviv, Israel

[5] Tel Aviv Sourasky Med Ctr, Dept Plast & Reconstruct Surg, Tel Aviv, Israel

[6] Tel Aviv Sourasky Med Ctr, Dept Otolaryngol Head & Neck Surg & Maxillofacial, 6 Weizmann St, IL-6423906 Tel Aviv, Israel

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2024年 / 46卷 / 05期

关键词：

donor-site; fibula free flap; mandibular reconstruction; microvascular; osteofascial; DONOR-SITE MORBIDITY; PROXIMAL SKIN PADDLE; NECK RECONSTRUCTION; POSTOPERATIVE COMPLICATIONS; LEG MORBIDITY; RISK-FACTORS; HEAD; SURGERY; IMPACT; RADIOTHERAPY;

D O I：

10.1002/hed.27661

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: This study compares early outcomes of osteofascial fibula free flap (OF-FFF) with donor-site primary closure and osteocutaneous (OC) FFF with donor-site skin grafting in segmental mandibular reconstruction. Methods: A retrospective chart review of FFF mandibular reconstruction patients (2006-2022) divided into OF-FFF and OC-FFF groups. Clinical data, operative parameters, and early postoperative outcomes (<= 90 days) were analyzed. Results: The study included 67 patients (39 OF-FFF, 28 OC-FFF). OF-FFF had significantly lower donor-site complications (12.8% vs. 53.6%, p < 0.001) and revision surgeries (7.7% vs. 35.7%, p = 0.004) compared to OC-FFF. Recipient-site (28.2% vs. 25%, p = 0.77) and flap (15.4% vs. 17.9%, p > 0.99) complications were comparable. Conclusions: OF-FFF mandibular reconstruction with donor-site primary closure is a safe and reliable technique associated with superior donor-site and comparable flap and recipient-site outcomes to OC-FFF, thus may be considered as a viable alternative to OC-FFF for selected patients.

引用

页码：1168 / 1177

页数：10

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