SUMMARY. One of the more challenging problems in head and neck surgery is mandibular reconstruction. A variety of tissues and techniques have been used over the years in an effort to find a solution. Currently the majority of reputable centerscentres around the world favour the free microvascular transfer of bone. The vascularised fibula is one of the most acceptable techniques, if not the most acceptable, for reconstruction of the mandible. From October 1999 to March 2001 ten free fibula mandibular reconstructions were undertaken at the Aga Khan University. 9 Nine of these were carried out following tumour excision and 1 one after trauma. 9 Nine of these flaps were osseocutaneous and 1 one was osseous. There were 2 two flap losses while 8 eight flaps survived to give the patients a good cosmetic and functional result. While the numbers are too small to be of any real significance the early results would tend to justify this major surgery in certain well-defined situations.Type the summary here
1. 2.3. Jewer DD. Orofacial and Mandibular Reconstruction with the Iliac Crest Free Flap: A Review of 60 Cases and a New Method of Classification. Plast. Reconstr. Surg. 1989; 84: 391-403.
4. 5. Taylor GI, Miller, Miller GDH, Ham, Ham FJ. The Free Vascularised Bone Graft: a Clinical Extension of Microvascular Techniques. Plast. Reconstr. Surg. Plast Reconstr Surg 1975; 55: 533-544.
6. Hidalgo DA. Fibula Free Flap: a New Method of Mandibular Reconstruction. Plast. Reconstr. Surg. Plast Reconstr Surg 1989; 84: 71-79.
7. 8. Yang KC, Leung, Leung JKW, Chen, Chen JS. Double-Paddle Peroneal Tissue Transfer for Oromandibular Reconstruction. Plast. Reconstr. Surg. Plast Reconstr Surg 2000; 106: 47-55.
1. 2.3. Kroll SS, Schusterman, Schusterman MA, Reece, Reece GP, Miller, Miller MJ, Evans GRD, Robb GL, Baldwin BJ. Choice of Flap and Incidence of Free Flap Success. Plast. Reconstr. Surg. Plast Reconstr Surg 1996; 98: 459-463.
4. 5. Khouri RK, Cooley BC, Kunselman AR, Landis JR, Yeramian P, Ingram D, Natarajan N, Benes CO, Wallemark C. A Prospective Study of Microvascular Free – Flap Surgery and Outcome. Plast. Reconstr. Surg. Plast Reconstr Surg 1998; 102:711-721. Special Topic Guest Editorial by Patron History of Plastic Surgery in Pakistan Professor Faiz Muhammad Khan
6. 7.8. Singh B, Cordeiro PG, Santamaria E, Shaha AR, Pfister DG, Shah JP. Factors Associated with Complications in Microvascular Reconstruction of Head and Neck Defects. Plast. Reconstr. Surg. Plast Reconstr Surg 1999; 103: 403-411.
9. 10. Gurtner GC, Evans GRD. Advances in Head and Neck Reconstruction. Plast. Reconstr. Surg. Plast Reconstr Surg 2000; 106: 672-682.
11. 12.13. Netscher DT, Meade, Meade RA, Goodman, Goodman CM, Alford, Alford EL, Stewart, Stewart MG. Quality of Life and Disease- Specific Functional status following
Microvascular Reconstruction for Advanced (T3 and T4) Oropharyngeal Cancers. Plast. Reconstr. Surg. Plast Reconstr Surg 2000;105; 105: 1628-1634. 14. 15. Demirkan F, Wei, Wei FC, Chen, Chen HC, Chen, Chen IH, Liao, Liao CT. Oromandibular reconstruction using a third free flap in sequence in recurrent carcinoma. Br. J. Plast. Surg. 1999; 52: 429-433.
16. 17.18. Blair EA, Callender, Callender DL. Head and neck cancer: The problem. Clin. Plast. Surg. 1994; 21: 1-16.
19. Withey S, Witherow H, Waterhouse N. One hundred cases of endoscopic brow lift. Br J Plast Surg 2002; 55: 20—24.
20. Lister GD. Skin flaps. In Green DP, ed. Operative Hand Surgery. 3rd ed. New York: Churchill Livingstone, 1993: 741—823. Mathes SJ, Nahai F. Reconstructive Surgery: principles, anatomy, and technique. New York: Churchill Livingstone, 1997.