New modified free chimeric fibular flap design for head and neck reconstruction

Tyng-Luen Roan, Shyue-Yih Horng, Jung-Hsien Hsieh, Hao-Chih Tai, Hsiung-Fei Chien, Yueh-Bih Tang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright © 2012 Wiley Periodicals, Inc.
Original languageEnglish
Pages (from-to)E231-E233
JournalHead and Neck
Volume35
Issue number8
DOIs
Publication statusPublished - 2013
Externally publishedYes

Fingerprint

Neck
Head
Skin
Cheek
Mandible
Perforator Flap
Mouth Mucosa
Head and Neck Neoplasms
Arteries
Bone and Bones
Neoplasms

Keywords

  • chimeric
  • free fibular flap
  • head and neck cancer
  • mandible reconstruction
  • peroneal artery flap
  • adult
  • article
  • blood vessel shunt
  • cancer surgery
  • case report
  • fasciocutaneous flap
  • fibula graft
  • head and neck reconstruction
  • head and neck surgery
  • human
  • male
  • mandible
  • mandible resection
  • mouth cancer
  • priority journal
  • skin defect
  • soft tissue
  • Adult
  • Carcinoma, Squamous Cell
  • Free Tissue Flaps
  • Head and Neck Neoplasms
  • Humans
  • Leg
  • Male
  • Middle Aged
  • Reconstructive Surgical Procedures

Cite this

Roan, T-L., Horng, S-Y., Hsieh, J-H., Tai, H-C., Chien, H-F., & Tang, Y-B. (2013). New modified free chimeric fibular flap design for head and neck reconstruction. Head and Neck, 35(8), E231-E233. https://doi.org/10.1002/hed.23049

New modified free chimeric fibular flap design for head and neck reconstruction. / Roan, Tyng-Luen; Horng, Shyue-Yih; Hsieh, Jung-Hsien; Tai, Hao-Chih; Chien, Hsiung-Fei; Tang, Yueh-Bih.

In: Head and Neck, Vol. 35, No. 8, 2013, p. E231-E233.

Research output: Contribution to journalArticle

Roan, T-L, Horng, S-Y, Hsieh, J-H, Tai, H-C, Chien, H-F & Tang, Y-B 2013, 'New modified free chimeric fibular flap design for head and neck reconstruction', Head and Neck, vol. 35, no. 8, pp. E231-E233. https://doi.org/10.1002/hed.23049
Roan, Tyng-Luen ; Horng, Shyue-Yih ; Hsieh, Jung-Hsien ; Tai, Hao-Chih ; Chien, Hsiung-Fei ; Tang, Yueh-Bih. / New modified free chimeric fibular flap design for head and neck reconstruction. In: Head and Neck. 2013 ; Vol. 35, No. 8. pp. E231-E233.
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abstract = "Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright {\circledC} 2012 Wiley Periodicals, Inc.",
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author = "Tyng-Luen Roan and Shyue-Yih Horng and Jung-Hsien Hsieh and Hao-Chih Tai and Hsiung-Fei Chien and Yueh-Bih Tang",
note = "被引用次數:1 Export Date: 16 March 2016 CODEN: HEANE 通訊地址: Hsieh, J.-H.; Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan; 電子郵件: jhhsieh@ntuh.gov.tw 參考文獻: Hidalgo, D.A., Fibula free flap: A new method of mandible reconstruction (1989) Plast Reconstr Surg, 84, pp. 71-79; Wei, F.C., Chen, H.C., Chuang, C.C., Noordhoff, M.S., Fibular osteoseptocutaneous flap: Anatomic study and clinical application (1986) Plast Reconstr Surg, 78, pp. 191-200; Schusterman, M.A., Reece, G.P., Miller, M.J., Harris, S., The osteocutaneous free fibula flap: Is the skin paddle reliable? (1992) Plast Reconstr Surg, 90, pp. 787-793. , discussion 794-798; Chen, Y.L., Zheng, B.G., Zhu, J.M., Microsurgical anatomy of the lateral skin flap of the leg (1985) Ann Plast Surg, 15, pp. 313-318; Schaverien, M., Saint-Cyr, M., Perforators of the lower leg: Analysis of perforator locations and clinical application for pedicled perforator flaps (2008) Plast Reconstr Surg, 122, pp. 161-170; Mathes, S.J., Nahai, F., (1997) Fibula Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13D, pp. 1353-1370. , New York: Churchill Livingstone;; Mathes, S.J., Nahai, F., (1997) Peroneal Artery Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13H, pp. 1419-1436. , New York: Churchill Livingstone;; Cheng, M.H., Saint-Cyr, M., Ali, R.S., Chang, K.P., Hao, S.P., Wei, F.C., Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects (2009) Head Neck, 31, pp. 361-370",
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T1 - New modified free chimeric fibular flap design for head and neck reconstruction

AU - Roan, Tyng-Luen

AU - Horng, Shyue-Yih

AU - Hsieh, Jung-Hsien

AU - Tai, Hao-Chih

AU - Chien, Hsiung-Fei

AU - Tang, Yueh-Bih

N1 - 被引用次數:1 Export Date: 16 March 2016 CODEN: HEANE 通訊地址: Hsieh, J.-H.; Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan; 電子郵件: jhhsieh@ntuh.gov.tw 參考文獻: Hidalgo, D.A., Fibula free flap: A new method of mandible reconstruction (1989) Plast Reconstr Surg, 84, pp. 71-79; Wei, F.C., Chen, H.C., Chuang, C.C., Noordhoff, M.S., Fibular osteoseptocutaneous flap: Anatomic study and clinical application (1986) Plast Reconstr Surg, 78, pp. 191-200; Schusterman, M.A., Reece, G.P., Miller, M.J., Harris, S., The osteocutaneous free fibula flap: Is the skin paddle reliable? (1992) Plast Reconstr Surg, 90, pp. 787-793. , discussion 794-798; Chen, Y.L., Zheng, B.G., Zhu, J.M., Microsurgical anatomy of the lateral skin flap of the leg (1985) Ann Plast Surg, 15, pp. 313-318; Schaverien, M., Saint-Cyr, M., Perforators of the lower leg: Analysis of perforator locations and clinical application for pedicled perforator flaps (2008) Plast Reconstr Surg, 122, pp. 161-170; Mathes, S.J., Nahai, F., (1997) Fibula Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13D, pp. 1353-1370. , New York: Churchill Livingstone;; Mathes, S.J., Nahai, F., (1997) Peroneal Artery Flap. Reconstructive Surgery: Principles, Anatomy, and Technique. Section 13H, pp. 1419-1436. , New York: Churchill Livingstone;; Cheng, M.H., Saint-Cyr, M., Ali, R.S., Chang, K.P., Hao, S.P., Wei, F.C., Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects (2009) Head Neck, 31, pp. 361-370

PY - 2013

Y1 - 2013

N2 - Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright © 2012 Wiley Periodicals, Inc.

AB - Background The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction. Methods We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum. Results We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery. Conclusion The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect. Copyright © 2012 Wiley Periodicals, Inc.

KW - chimeric

KW - free fibular flap

KW - head and neck cancer

KW - mandible reconstruction

KW - peroneal artery flap

KW - adult

KW - article

KW - blood vessel shunt

KW - cancer surgery

KW - case report

KW - fasciocutaneous flap

KW - fibula graft

KW - head and neck reconstruction

KW - head and neck surgery

KW - human

KW - male

KW - mandible

KW - mandible resection

KW - mouth cancer

KW - priority journal

KW - skin defect

KW - soft tissue

KW - Adult

KW - Carcinoma, Squamous Cell

KW - Free Tissue Flaps

KW - Head and Neck Neoplasms

KW - Humans

KW - Leg

KW - Male

KW - Middle Aged

KW - Reconstructive Surgical Procedures

U2 - 10.1002/hed.23049

DO - 10.1002/hed.23049

M3 - Article

VL - 35

SP - E231-E233

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

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ER -