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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

  1. 1. MICROVASCULAR TRANSFER OF FIBULA FORMANDIBULAR RECONSTRUCTION Shailesh Nisal Amit jaiswal Parikshit janai Sparsh Clinics Nagpur India www.sparshclinics.com
  2. 2. WELL DIFFERENTIATED SQUAMOUS CELLCARCINOMA ALVEOLAR MUCOSA T4 N0 M0
  3. 3. WIDE LOCAL EXCISION + BILATERAL NECKDISSECTION – FLOOR MOUTH, MANDIBULARSEGMENT SKIN PADDLE EXCISED
  4. 4. PECTORALIS MAJOR MYOCUTANEUS FLAP FORLINING
  5. 5. OSTEOCUTANEUS FIBULA FOR REPLACEMENT OFMANDIBLE AND OUTER SKIN PADDLE
  6. 6. MANDIBULAR ARCH FORMED IN SITU
  7. 7. DONOR AREAS AND FEEDING GASTROSTOMY
  8. 8. 2 WKS – HEALING BY PRIMARY INTENSION,MOUTH OPENING IMPROVING
  9. 9. MULTILOCULAR AMELOBLASTOMA MANDIBLE
  10. 10. CENTRAL SEGMENT OF BICORTICAL MANDIBLEFRAGMENTED
  11. 11. PLANNING AND MARKINGS
  12. 12. MANDIBULAR EXCISION UNDER A BIPEDICLE FLAPMOVED AS BUCKET-HANDLE
  13. 13. EXCISED SPECIMEN
  14. 14. VASCULARIZED FIBULA HARVESTED WITH THEPERONEAL PEDICLE
  15. 15. MANDIBULAR OSTEOTOMIES, SHAPING,STABILIZED WITH TITANIUM MINIPLATES
  16. 16. SATISFACTORY HEALING AND GOOD CONTOUR
  17. 17. MOUTH CLOSURE AND OPENING
  18. 18. THANKSShailesh NisalAmit JaiswalParikshit JanaiPrashant BowteSparsh Clinics Nagpur Indiawww.sparshclinics.com

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