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Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle

BACKGROUND: Fibula flap has been a gold standard method for reconstruction of the mandible. It has been used for reconstruction of maxilla as well as long bones, effectively. Fibula flap in selected cases has been used as a pedicled flap. The flexor hallucis longus muscle has been used to obliterate...

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Autores principales: Venkatesh, Mysore Srinivas, Kumaraswamy, Mohan Kumar, Shivalingappa, Shantha Kumar, Waiker, Veena Prabhakar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Society for Plastic Surgeons 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016380/
https://www.ncbi.nlm.nih.gov/pubmed/33833950
http://dx.doi.org/10.29252/wjps.10.1.22
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author Venkatesh, Mysore Srinivas
Kumaraswamy, Mohan Kumar
Shivalingappa, Shantha Kumar
Waiker, Veena Prabhakar
author_facet Venkatesh, Mysore Srinivas
Kumaraswamy, Mohan Kumar
Shivalingappa, Shantha Kumar
Waiker, Veena Prabhakar
author_sort Venkatesh, Mysore Srinivas
collection PubMed
description BACKGROUND: Fibula flap has been a gold standard method for reconstruction of the mandible. It has been used for reconstruction of maxilla as well as long bones, effectively. Fibula flap in selected cases has been used as a pedicled flap. The flexor hallucis longus muscle has been used to obliterate the dead space during the reconstruction. With a wide range of indications, the use of flexor hallucis muscle has studied for the reconstruction. METHODS: In a retrospective case record analysis study, 38 subjects were enrolled, included 32 patients with reconstruction of mandible, 1 patient with reconstruction of maxilla, 4 patients with 3 free flaps and 1 pedicled flap with reconstruction of the tibia. RESULTS: The success rate was 89%, with 4 flap failures. The muscle was used for reconstruction of the tongue, floor of the mouth, antrum, and to cover the fibula graft. CONCLUSION: Flexor hallucis longus muscle harvested with the flap could decrease the operative time, ease the harvest, and fill the dead space during reconstruction.
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spelling pubmed-80163802021-04-07 Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle Venkatesh, Mysore Srinivas Kumaraswamy, Mohan Kumar Shivalingappa, Shantha Kumar Waiker, Veena Prabhakar World J Plast Surg Original Article BACKGROUND: Fibula flap has been a gold standard method for reconstruction of the mandible. It has been used for reconstruction of maxilla as well as long bones, effectively. Fibula flap in selected cases has been used as a pedicled flap. The flexor hallucis longus muscle has been used to obliterate the dead space during the reconstruction. With a wide range of indications, the use of flexor hallucis muscle has studied for the reconstruction. METHODS: In a retrospective case record analysis study, 38 subjects were enrolled, included 32 patients with reconstruction of mandible, 1 patient with reconstruction of maxilla, 4 patients with 3 free flaps and 1 pedicled flap with reconstruction of the tibia. RESULTS: The success rate was 89%, with 4 flap failures. The muscle was used for reconstruction of the tongue, floor of the mouth, antrum, and to cover the fibula graft. CONCLUSION: Flexor hallucis longus muscle harvested with the flap could decrease the operative time, ease the harvest, and fill the dead space during reconstruction. Iranian Society for Plastic Surgeons 2021-01 /pmc/articles/PMC8016380/ /pubmed/33833950 http://dx.doi.org/10.29252/wjps.10.1.22 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Venkatesh, Mysore Srinivas
Kumaraswamy, Mohan Kumar
Shivalingappa, Shantha Kumar
Waiker, Veena Prabhakar
Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title_full Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title_fullStr Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title_full_unstemmed Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title_short Fibula Musculo-Osteocutaneous Flap with Full Thickness of Flexor Hallucis Longus Muscle
title_sort fibula musculo-osteocutaneous flap with full thickness of flexor hallucis longus muscle
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016380/
https://www.ncbi.nlm.nih.gov/pubmed/33833950
http://dx.doi.org/10.29252/wjps.10.1.22
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