Computer planning and intraoperative navigation for palatomaxillary and mandibular reconstruction with fibular free flaps.

摘要

The loss of mandibular continuity or palatal integrity as a result of ablative tumor therapy or severe travima is physiologically and psychologically debilitating. The utility of the free fibular osteocutaneous flap (FFOF) for mandibular reconstruction was recognized and subsequently popularized by Hidalgo1 in 1989. Since that time, the FFOF has been shown to be a highly reliable flap for the reconstruction of mandibular continuity defects2 and is an important option for palatomaxillary reconstruction.3 The fibula has a thick outer cortex that provides up to 22 to 25 cm of bone for use in re-establishing continuity of the mandible and can be transferred as an osteocutaneous or osteo-fascial flap.