Details

Autor(en) / Beteiligte

• Shilo, Shahaf
• Muhanna, Nidal
• Fliss, Dan M.
• Horowitz, Gilad
• Warshavsky, Anton
• Mansour, Jobran
• Ianculovici, Clariel
• Fliss, Ehud
• Barnea, Yoav
• Zaretski, Arik
• Yanko, Ravit

Titel

Early outcomes of osteofascial versus osteocutaneous fibula free flap mandibular reconstruction

Ist Teil von

• Head & neck, 2024-05, Vol.46 (5), p.1168-1177

Ort / Verlag

Hoboken, USA: John Wiley & Sons, Inc

Erscheinungsjahr

2024

Quelle

Wiley Blackwell Single Titles

Beschreibungen/Notizen

• 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.