Microvascular transfer of fibula for mandibular reconstruction

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The gold standard for mandibular reconstruction is microvascular transfer of fibula. Fibula may be transferred as bone alone or as a skin bone transfer as required.

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MICROVASCULAR TRANSFER OF FIBULA FOR
MANDIBULAR RECONSTRUCTION

Shailesh Nisal
Amit jaiswal
Parikshit janai
Sparsh Clinics Nagpur India
www.sparshclinics.com

WELL DIFFERENTIATED SQUAMOUS CELL
CARCINOMA ALVEOLAR MUCOSA T4 N0 M0

WIDE LOCAL EXCISION + BILATERAL NECK
DISSECTION – FLOOR MOUTH, MANDIBULAR
SEGMENT SKIN PADDLE EXCISED

PECTORALIS MAJOR MYOCUTANEUS FLAP FOR
LINING

OSTEOCUTANEUS FIBULA FOR REPLACEMENT OF
MANDIBLE AND OUTER SKIN PADDLE

2 WKS – HEALING BY PRIMARY INTENSION,
MOUTH OPENING IMPROVING

CENTRAL SEGMENT OF BICORTICAL MANDIBLE
FRAGMENTED

MANDIBULAR EXCISION UNDER A BIPEDICLE FLAP
MOVED AS BUCKET-HANDLE

VASCULARIZED FIBULA HARVESTED WITH THE
PERONEAL PEDICLE

MANDIBULAR OSTEOTOMIES, SHAPING,
STABILIZED WITH TITANIUM MINIPLATES

THANKS

Shailesh Nisal
Amit Jaiswal
Parikshit Janai
Prashant Bowte
Sparsh Clinics Nagpur India
www.sparshclinics.com

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