The rare phenomenon of vascular pedicle ossification of free fibular flap in mandibular reconstruction

被引:16
|
作者
Gonzalez-Garcia, Rail [1 ]
Manzano, Damian [1 ]
Ruiz-Laza, Luis [1 ]
Moreno-Garcia, Carlos [1 ]
Monje, Florencio [1 ]
机构
[1] Univ Hosp Infanta Cristina, Dept Oral & Maxillofacial Head & Neck Surg, Badajoz, Spain
关键词
Ossification; Vascular pedicle; Microvascularized free flaps; vascularized free fibular flap; Mandibular reconstruction; BONE-FORMATION; OSTEOGENESIS; PERIOSTEUM; RATS;
D O I
10.1016/j.jcms.2010.03.023
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Ossification of the vascular pedicle in the vascularized free fibular flap (VFFF) has been only previously described twice for jaw reconstruction. A case of severe trismus secondary to periosteal osteogenesis following VFFF for maxillary reconstruction, and four cases of ossification of the vascular pedicle in VFFF for maxillary and mandibular reconstruction have been respectively described. Etiology remains unclear, although presence of periosteum in continuity with bone seems to play a major role. Hormonal stimuli, stress over the bone, and corticosteroid therapy have been proposed as determinant factors, although no clear correlation has been already established. No histologic studies concerning the generation of new bone around the vascular pedicle in VFFF are nowadays present. We report a new case of vascular pedicle ossification of VFFF following mandibular reconstruction, this being the third report in the literature, and focus on histologic examination of the specimen. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery.
引用
收藏
页码:114 / 118
页数:5
相关论文
共 50 条
  • [21] A comparison of vascularized fibular flap and iliac crest flap for mandibular reconstruction
    Yilmaz, Mustafa
    Vayvada, Haluk
    Menderes, Adnan
    Demirdover, Cenk
    Kizilkaya, Ali
    JOURNAL OF CRANIOFACIAL SURGERY, 2008, 19 (01) : 227 - 234
  • [22] Classification of pedicle ossification after maxillofacial reconstruction with bony free flap: An observational study
    Barry, Florent
    Schlund, Matthias
    Raoul, Gwenael
    Myon, Luc
    Ferri, Joel
    Nicot, Romain
    JOURNAL OF STOMATOLOGY ORAL AND MAXILLOFACIAL SURGERY, 2022, 123 (02) : 228 - 232
  • [23] Advanced mandibular reconstruction with fibular free flap and alloplastic TMJ prosthesis with digital planning
    Pyne, Justin M.
    Davis, Clayton M.
    Kelm, Ryan
    Bussolaro, Claudine
    Dobrovolsky, Walter
    Seikaly, Hadi
    JOURNAL OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2023, 52 (01)
  • [24] Mandibular Reconstruction with Free Vascularized Fibular Graft
    Yamamoto, Nobuharu
    Morikawa, Takamichi
    Yakushiji, Takashi
    Shibahara, Takahiko
    BULLETIN OF TOKYO DENTAL COLLEGE, 2018, 59 (04): : 299 - 311
  • [25] Oral rehabilitation with dental implants and quality of life following mandibular reconstruction with free fibular flap
    Hans-Christian Jacobsen
    Falko Wahnschaff
    Thomas Trenkle
    Peter Sieg
    Samer G. Hakim
    Clinical Oral Investigations, 2016, 20 : 187 - 192
  • [26] Temporomandibular joint capsule suspension for neocondyle stability in free fibular flap reconstruction of the mandibular condyle
    Bai, Shuang
    Yu, Yao
    Zhang, Wen-Bo
    Mao, Ya-Qing
    Wang, Yang
    Mao, Chi
    Wang, Dian-Can
    Peng, Xin
    JOURNAL OF THE KOREAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS, 2025, 51 (01) : 46 - 53
  • [27] A Comparative Study on Microvascular Anastomosis of Vascularised Free Fibular Flap with Couplers and Suturing in Mandibular Reconstruction
    Murugan S.
    John R.R.
    Krihnakumar Raja V.B.
    Mohan A.
    Bhanumurthy L.
    Journal of Maxillofacial and Oral Surgery, 2016, 15 (3) : 363 - 366
  • [28] Oral rehabilitation with dental implants and quality of life following mandibular reconstruction with free fibular flap
    Jacobsen, Hans-Christian
    Wahnschaff, Falko
    Trenkle, Thomas
    Sieg, Peter
    Hakim, Samer G.
    CLINICAL ORAL INVESTIGATIONS, 2016, 20 (01) : 187 - 192
  • [29] First reported PET positive, FDG avid free flap pedicle ossification and review of the literature
    Silberzweig, Alex M.
    Xing, Monica H.
    Mundi, Neil
    Matloob, Ammar
    Urken, Mark L.
    CLINICAL IMAGING, 2021, 79 (79) : 30 - 35
  • [30] Latissimus Dorsi-Rib Pedicle Flap for Mandibular Reconstruction as a Salvage Procedure for Failed Free Fibula Flap
    Chen, Hung-Chi
    Fallico, Nefer
    Ciudad, Pedro
    Trignano, Emilio
    JOURNAL OF CRANIOFACIAL SURGERY, 2014, 25 (03) : 961 - 963