Jaw reconstruction using vascularized fibular grafts. 1994

Y Yamano
Department of Orthopaedic Surgery, Osaka City University Medical School, Japan.

The mandible was reconstructed using 12 and 13-cm-long vascularized fibular grafts in 2 cases of extensive defects due to resection of the anterolateral portion of the mandible for the removal of bone Tumors. The straightness and hardness of the fibula allowed it to be given a two-dimensional curvature. The reconstructed mandibles were satisfactory both aesthetically and functionally. Large defects of the mandible cause distortion of the face and trouble with mastication. Treatment of massive mandibular defects by conventional bone grafting often ends in failure because of bone resorption, and for this reason, vascularized bone grafts are appropriate. We report here in 4 cases of the reconstruction of the jaw (Table 1) and the detail of the reconstruction with the use of vascularized fibular grafts is presented for the 2 cases of extensive anterolateral mandibular defects.

UI MeSH Term Description Entries
D008297 Male Males
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D005360 Fibula The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones. Fibulas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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