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  • Title: Harnessing the potential of the free fibula osteoseptocutaneous flap in mandible reconstruction.
    Author: Wallace CG, Chang YM, Tsai CY, Wei FC.
    Journal: Plast Reconstr Surg; 2010 Jan; 125(1):305-314. PubMed ID: 20048622.
    Abstract:
    BACKGROUND: The free fibula osteoseptocutaneous flap remains the first choice for segmental mandible and contiguous soft-tissue defect reconstructions in most situations. METHODS: Several important principles are described that should be respected during skin paddle design: fibula contouring, insetting, and fixation, and dental implant osseointegration. Recent advancements that address difficulties in height contouring, particularly at the anterior segment, are highlighted. RESULTS: The presented methods can help provide an optimal mandibular reconstruction that restores mechanical functions, facial aesthetics, and complete dental competence. CONCLUSION: Efficient interdisciplinary communication and teamwork are necessary throughout the longitudinal care of the patient if optimal results are to be achieved.
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