scholarly journals Massive Ameloblastoma and Reconstruction with Free Fibular Graft

2021 ◽  
pp. 88-93
Author(s):  
Linda Jana Sintaningtyas ◽  
Joko Purnomo ◽  
Affandi Wiramur
Keyword(s):  
Facial Asymmetry ◽  
Wide Excision ◽  
Peroneal Artery ◽  
Fibular Graft ◽  
Titanium Plate ◽  
Large Defect ◽  
Vascularized Fibular Graft ◽  
Odontogenic Epithelium ◽  
Free Vascularized Fibular Graft ◽  
Titanium Miniplate

Aims: To report a case of massive ameloblastoma in mandible with wide excision and reconstruction with free vascularized fibular graft and titanium plate. Case Description: A 49- year-old male patient complained right facial mass since 5 years ago. Patient underwent right hemimandibulectomy with general anesthesia and pathologic examination revealed folliculare ameloblastoma. The large defect after resection reconstructed with free fibular graft. Fibula was osteotomised and resembled with mandible shape and reconstructed by plate with intact pedicle. Care was taken to protect the periosteal branch of the peroneal artery before performing an osteotomy. Shaping of the resected fibula was done according to the preoperative template. A titanium miniplate with locking screws was used to secure the osteotomized fibula and the mandible. To secure the airway, we performed tracheostomy. Followup after operation, patient still got a defect facial asymmetry in right mandible. Discussion: Ameloblastoma is histologically benign but locally aggressive tumor originating from odontogenic epithelium. After hemimandibulectomy, reconstruction continued with microvascular free fibular graft and titanium plate. Osteotomies were performed with the pedicle still attached. Conclusions: Free vascularized fibular graft with titanium plate is preferrably reconstruction option for large defect after wide excision of mandibular ameloblastoma.

LENGTHENING IN FREE VASCULARIZED FIBULAR GRAFT

Hand Clinics ◽  
1999 ◽  
Vol 15 (4) ◽  
pp. 585-588
Author(s):  
Ivor Jiun Lim ◽  
Anam Kueh Kour ◽  
Robert Wan Heng Pho
Keyword(s):  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Free Vascularized Fibular Graft

scholarly journals Free vascularized fibular graft in patient with skeletal defect after neurofibroma surgical excision of forearm

2019 ◽  
Vol 7 (3) ◽  
pp. 955
Author(s):  
Satria Pandu Persada Isma ◽  
Agung Riyanto Budi Santoso ◽  
Thomas Erwin Christian Junus Huwae ◽  
Istan Irmansyah Irsan ◽  
Yudhi Purbiantoro
Keyword(s):  
Early Period ◽  
Surgical Excision ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Skeletal Defects ◽  
Free Vascularized Fibular Graft ◽  
Manual Testing ◽  
The Right ◽  
Operation Wound

The free vascularized fibular graft has been successfully applied as a reconstruction option in patient with large secondary skeletal defects result from excision of pathologic tissue after neurofibroma surgical excision. It provides a strong cortical strut for reconstruction of defects, so that the free vascularized fibular graft is ideal for ulna reconstruction. A 22-year-old male with lump in his right forearm for 3 months previously which become bigger and more painful. There was also sings of ulnar nerve disfunction. From the CPC result, we diagnosed forearm neurofibroma. We performed wide excision and reconstruction using free vascularized fibular graft. On the last follow up, the active and passive ranges of motion (ROM) of 4th and 5th metacarpal was measured with the help of a goniometer. The ulnar neurological state was tested by manual testing and graded on the Medical research council (MRC) scale. Four weeks after surgery, the operation wound at the right forearm and right lower leg was good and no infection signs. The graft viability was good with compromised vascularity. The post-operative passive and active ROM of the 4th and 5th metacarpal able did full extend. The post-operative sensoris level of the ulnar area improved from pre-operative sensoris level.Post-operative follow-up, in the early period (up to 6 weeks) we monitor the graft viability. Our case reported good result in the operation wound, the graft viability, the passive and active ROM of the 4th and 5th metacarpal and the sensoris level of the ulnar area.

Treatment of congenital pseudoarthrosis of the tibia by a free vascularized fibular graft: Case report

Microsurgery ◽  
1981 ◽  
Vol 3 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Fumiaki Usami ◽  
Masayuki Iketani ◽  
Michio Hirukawa ◽  
Kunio Fujikura ◽  
Masahiro Furuya ◽  
...  
Keyword(s):  
Case Report ◽  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Free Vascularized Fibular Graft

Congenital Pseudarthrosisof the Tibia: Treated with Free Vascularized Fibular Graft

1981 ◽  
Vol 16 (3) ◽  
pp. 745
Author(s):  
Myung Chul Yoo ◽  
Shin Hyeok Kang ◽  
Bong Keon Kim ◽  
Jae Gong Park ◽  
Hong Chul Lim
Keyword(s):  
Fibular Graft ◽  
Vascularized Fibular Graft ◽  
Free Vascularized Fibular Graft

scholarly journals Possible Novel Treatment Modality for Non Ossifying Fibroma Neck of Femur

2020 ◽  
Vol 53 (03) ◽  
pp. 442-446
Author(s):  
Mohammed Alam Parwaz ◽  
Tarun Chaudhary ◽  
Suraj Bansal
Keyword(s):  
Ossifying Fibroma ◽  
Fibular Graft ◽  
Neck Of Femur ◽  
Vascularized Fibular Graft ◽  
Osteolytic Lesions ◽  
Structural Support ◽  
Pathologic Fractures ◽  
Free Vascularized Fibular Graft ◽  
Impending Fracture

AbstractNonossifying fibromas (NOFs) are benign bone tumors occurring in the second decade of life. Most of the NOFs are diagnosed incidentally on the basis of its presentation on plain radiographs where they typically appear as small, cortical osteolytic lesions with sclerotic margin. They are mostly asymptomatic but can result in pathologic fractures if the lesion involves more than 50% of bone diameter. They are mostly treated with curettage and bone grafting. But in challenging situations where the classical surgery has failed or there is impending fracture of the neck of femur, bone structural support is needed. We are discussing two cases diagnosed as NOFs of intracapsular femoral neck. Both cases underwent curettage of tumor followed by free vascularized fibular graft. Results in both the cases were very gratifying, with complete resolution of symptoms during 1 year of follow-up.

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