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  • Title: [Repair of oral maxillofacial defect with free peroneal composite flap].
    Author: Xie C, Li L, Wen Y.
    Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi; 2004 Jul; 18(4):298-300. PubMed ID: 15323446.
    Abstract:
    OBJECTIVE: To evaluate the advantages and disadvantages of vascularized free peroneal composite flaps for reconstruction of oral and maxillofacial defects. METHODS: From November 1999 to December 2002, 28 cases of oral maxillofacial defects were reconstructed with vascularized free peroneal composite flaps, with fibula-cutaneous flap in 21 cases and with fibula-myocutaneous flap in 7 cases. Three cases received insertion of dental implants into the fibula flap. The flap size was 3.0 cm x 5.5 cm to 8.0 cm x 12.0 cm; the fibula length was 5.5 cm to 16.0 cm. RESULTS: Of the 28 flaps reconstructed, 24 survived, 3 necrosed partially and 1 necrosed completely. All the 5 implants survived and achieved good bone integration in 3 cases. Twenty-six cases were followed up 1-36 months with an average of 18.5 months, the facial appearance and the vocal function were satisfactory in 23 cases. CONCLUSION: Vascularized peroneal flap has many advantages and is one of the optimal flaps for reconstruction of oral maxillofacial defects.
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