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Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps

The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have been describ...

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Autores principales: Shuck, John W., Andejani, Doaa F., Garvey, Patrick B., Chang, Edward I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9839264/
https://www.ncbi.nlm.nih.gov/pubmed/36655027
http://dx.doi.org/10.1097/GOX.0000000000004738
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author Shuck, John W.
Andejani, Doaa F.
Garvey, Patrick B.
Chang, Edward I.
author_facet Shuck, John W.
Andejani, Doaa F.
Garvey, Patrick B.
Chang, Edward I.
author_sort Shuck, John W.
collection PubMed
description The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have been described, including costochondral grafts, bone grafts, and alloplastic prostheses. These nonvascularized options are rarely employed in the oncologic patient receiving postoperative radiation therapy due to high rates of resorption, nonunion, and failure. The authors describe a novel technique for mandibular and TMJ reconstruction utilizing the fibula free flap as a flow through for a medial femoral trochlea flap for vascularized mandible and condylar reconstruction. This technique provides a vascularized cartilaginous surface to articulate with the glenoid fossa, making it an attractive option for the oncologic patient undergoing postoperative radiation therapy.
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spelling pubmed-98392642023-01-17 Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps Shuck, John W. Andejani, Doaa F. Garvey, Patrick B. Chang, Edward I. Plast Reconstr Surg Glob Open Reconstructive The free fibula flap is the gold standard in reconstruction of oncologic mandibular defects. When the mandibular condyle is resected, reconstruction of the temporomandibular joint (TMJ) continues to pose a unique challenge to the reconstructive surgeon. Several conventional methods have been described, including costochondral grafts, bone grafts, and alloplastic prostheses. These nonvascularized options are rarely employed in the oncologic patient receiving postoperative radiation therapy due to high rates of resorption, nonunion, and failure. The authors describe a novel technique for mandibular and TMJ reconstruction utilizing the fibula free flap as a flow through for a medial femoral trochlea flap for vascularized mandible and condylar reconstruction. This technique provides a vascularized cartilaginous surface to articulate with the glenoid fossa, making it an attractive option for the oncologic patient undergoing postoperative radiation therapy. Lippincott Williams & Wilkins 2023-01-13 /pmc/articles/PMC9839264/ /pubmed/36655027 http://dx.doi.org/10.1097/GOX.0000000000004738 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Reconstructive
Shuck, John W.
Andejani, Doaa F.
Garvey, Patrick B.
Chang, Edward I.
Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title_full Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title_fullStr Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title_full_unstemmed Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title_short Vascularized Condyle Reconstruction with Free Medial Femoral Trochlea and Fibular Flow-through Flaps
title_sort vascularized condyle reconstruction with free medial femoral trochlea and fibular flow-through flaps
topic Reconstructive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9839264/
https://www.ncbi.nlm.nih.gov/pubmed/36655027
http://dx.doi.org/10.1097/GOX.0000000000004738
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