scholarly journals Rekonstruksi defek mandibula menggunakan jabir bebas fibula

2015 ◽  
Vol 44 (2) ◽  
pp. 146
Author(s):  
Dini Widiarni ◽  
Indah Saraswati
Keyword(s):  
Iliac Crest ◽  
Microvascular Surgery ◽  
Mandibular Reconstruction ◽  
Free Fibular Flap ◽  
Iliac Crest Flap ◽  
Facial Defects ◽  
Fibular Flap ◽  
The Right ◽  
Oromandibular Reconstruction ◽  
Scapula Flap

Latar belakang: Perkembangan teknik pembedahan mikrovaskular telah menghasilkan jabir bebas fibula yang dapat digunakan untuk rekonstruksi oromandibular.  Jabir bebas fibula merupakan salah satu jabir tulang yang sering digunakan untuk mengatasi defek pada daerah wajah, terutama dalam rekonstruksi mandibula. Jabir ini memiliki banyak keunggulan dibandingkan dengan jabir tulang lainnya, seperti jabir skapula dan jabir iliaka. Jabir ini memiliki angka kesuksesan yang cukup tinggi yaitu mencapai 95%, namun untuk mencapai angka keberhasilan tersebut diperlukan perencanaan yang tepat sebelum dilakukannya pengambilan jabir mulai dari preoperatif, perioperatif, intraoperatif, dan pascaoperatif. Tujuan: Para ahli THT dapat mengetahui perencanaan yang tepat sebelum melakukan rekonstruksi mandibula. Tinjauan pustaka: Jabir bebas fibula memiliki angka keberhasilan yang tinggi dan merupakan jabir pilihan untukrekonstruksi mandibula. Kesimpulan: Perencanaan yang tepat mulai dari preoperatif sampai pascaoperatif sebelum dilakukan pengambilan jabir bebas fibula sangat diperlukan untuk mendapatkan hasil yang optimal.Kata kunci: Jabir bebas fibula, pembedahan mikrovaskular, rekonstruksi mandibula ABSTRACTBackground: Development in microvascular surgery technique has created a flap that can be used for oromandibular reconstruction. Free fibular flap is one of the bone flaps that frequently use for facial defects, especially mandibular reconstruction. This flap has lots of advantages than other bone flaps, such as scapula flap and iliac crest flap. Free fibular flap has a high successful rate up to 95%, but it needs meticulous planning before harvesting the bone; preoperative, perioperative, intraoperative, and postoperative is needed to get the high successful rate. Purpose: To inform ENT specialists about the appropriate planning before mandibular reconstruction. Literature review: Free fibular flap has a high successful rate and one of the excellent choices for mandibular reconstruction. Conclusion: The right preoperative to postoperative planning before doing the free fibularflap is very important to obtain optimal outcome. Keywords: Free fibular flap, microvascular surgery, mandibular reconstruction

A Comparison of Vascularized Fibular Flap and Iliac Crest Flap for Mandibular Reconstruction

2008 ◽  
Vol 19 (1) ◽  
pp. 227-234 ◽  
Author(s):  
Mustafa Yilmaz ◽  
Haluk Vayvada ◽  
Adnan Menderes ◽  
Cenk Demirdover ◽  
Ali Kizilkaya
Keyword(s):  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Iliac Crest Flap ◽  
Fibular Flap

scholarly journals Mandibular reconstruction using vascularized bone graft: indications of fibular flap, scapular flap and iliac crest flap

2010 ◽  
Vol 22 (4) ◽  
pp. 138-144
Author(s):  
Shujiroh Makino ◽  
Hideaki Kitada ◽  
Masashi Takano ◽  
Noriyuki Sakakibara ◽  
Ken-Ichi Notani ◽  
...  
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Vascularized Bone Graft ◽  
Iliac Crest Flap ◽  
Scapular Flap ◽  
Fibular Flap ◽  
Vascularized Bone

Tongue Depressor Template for Free Fibular Flap Osteotomies in Mandibular Reconstruction

2008 ◽  
Vol 122 (6) ◽  
pp. 209e-210e ◽  
Author(s):  
Lok H. Yap ◽  
Joannis Constantinides ◽  
Charles E. Butler
Keyword(s):  
Mandibular Reconstruction ◽  
Free Fibular Flap ◽  
Tongue Depressor ◽  
Fibular Flap

scholarly journals Comparison of Complicated and Simple Guiding Templates in Mandibular Reconstruction Using Vascularized Iliac Crest Flap

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Mei Zho ◽  
Zhe Shao ◽  
Yuxi Zhu ◽  
Bing Liu ◽  
Tianfu Wu
Keyword(s):  
Iliac Crest ◽  
Operation Time ◽  
Mandibular Reconstruction ◽  
Height Loss ◽  
Virtual Surgery ◽  
Intraoperative Procedures ◽  
Iliac Crest Flap ◽  
Mandibular Defect ◽  
Reconstruction Strategy ◽  
Graft Success

Objective. This study aims to compare the degree of accuracy achieved in mandibular reconstruction between complicated guiding templates (CGT) and simple guiding templates (SGT), to evaluate the necessity to spend more time to design complicated templates prior to surgery. Methods. The preoperative virtual surgery plan (VSP) was used to simulate the osteotomy and accurate mandibular reconstruction strategy. Then the guiding templates were designed and printed to transfer the VSP into the real operation. Between July 2013 and November 2014, we used the SGT in 13 L-type mandibular defect reconstructions utilising vascularized iliac crest bone (VICB). From March 2015 to March 2018, we used CGT in 14 L-type mandibular defects, also reconstructing with VICB. The indicators of mandibular symmetry, midline deviation, alveolar height loss, bone conjunction gap, and operation time were analyzed and compared between the two groups. Results. The overall bone graft success rate was 100% (27/27) between all patients. The SGT and CGT groups showed similar symmetry (1.01 ± 0.03 vs. 1.03 ± 0.04, P = 0.11) and mandibular midline displacement (1.0 ± 0.7 mm vs. 1.2 ± 0.8 mm, P=0.29). The CGT group showed less alveolar height deficiency than the SGT group (3.0 ± 2.4 mm vs. 7.8 ± 6.8 mm, P=0.01) and lesser bony conjunction gap between the graft and the mandible (1.6 ± 0.7 mm vs. 2.4 ± 1.2 mm, P = 0.02). The average operation time was significantly lower in the CGT group than in the SGT group (340.5 ± 74 min vs. 391.9 ± 41.7 min, P = 0.02). Conclusion. In the simple mandibular reconstruction, the time-consuming CGT did not significantly improve the symmetry and midline displacement compared to SGT, but it demonstrated less reduction (increased preservation) in alveolar height and decreased the size of the bone conjunction gap. And in addition, CGT also reduced the average operation time and simplified intraoperative procedures compared with SGT.

The use of free fibular flap for functional mandibular reconstruction

2005 ◽  
Vol 63 (2) ◽  
pp. 220-224 ◽  
Author(s):  
Micha Peled ◽  
Imad Abu El-Naaj ◽  
Yitzhak Lipin ◽  
Leon Ardekian
Keyword(s):  
Mandibular Reconstruction ◽  
Free Fibular Flap ◽  
Fibular Flap

Vascularized free fibular flap for immediate mandibular reconstruction following ressection of benign odontogenic tumors: a case series

2011 ◽  
Vol 40 (10) ◽  
pp. 1123
Author(s):  
P.H. Luiz de Freitas ◽  
M.H. Melo da Costa ◽  
B.J. dos Santos Júnior ◽  
N. de Souza Vitorino ◽  
R. da Costa Ribeiro ◽  
...  
Keyword(s):  
Case Series ◽  
Mandibular Reconstruction ◽  
Odontogenic Tumors ◽  
Free Fibular Flap ◽  
Fibular Flap
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