Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting
Abstract
:Materials and Methods
Patients and Procedure
Flap Failure
Statistical Analyses
Results
Demographics
Flap Failure
Complications
Discussion
Conclusion
References
- Taylor, G.I.; Miller, G.D.; Ham, F.J. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 1975, 55, 533–544. [Google Scholar] [CrossRef] [PubMed]
- Hidalgo, D.A. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989, 84, 71–79. [Google Scholar] [CrossRef]
- López-Arcas, J.M.; Arias, J.; Del Castillo, J.L.; et al. The fibula osteo- myocutaneous flap for mandible reconstruction: a 15-year experience. J Oral Maxillofac Surg 2010, 68, 2377–2384. [Google Scholar] [CrossRef] [PubMed]
- Chaine, A.; Pitak-Arnnop, P.; Hivelin, M.; Dhanuthai, K.; Bertrand, J.-C.; Bertolus, C. Postoperative complications of fibular free flaps in mandibular reconstruction: an analysis of 25 consecutive cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009, 108, 488–495. [Google Scholar] [CrossRef] [PubMed]
- Gbara, A.; Darwich, K.; Li, L.; Schmelzle, R.; Blake, F. Long-term results of jaw reconstruction with microsurgical fibula grafts and dental implants. J Oral Maxillofac Surg 2007, 65, 1005–1009. [Google Scholar] [CrossRef]
- Zhang, C.; Sun, J.; Zhu, H.; et al. Microsurgical free flap reconstructions of the head and neck region: Shanghai experience of 34 years and 4640 flaps. Int J Oral Maxillofac Surg 2015, 44, 675–684. [Google Scholar] [CrossRef]
- Colletti, G.; Autelitano, L.; Rabbiosi, D.; et al. Technical refinements in mandibular reconstruction with free fibula flaps: outcome- oriented retrospective review of 99 cases. Acta Otorhinolaryngol Ital 2014, 34, 342–348. [Google Scholar]
- Shroff, S.S.; Nair, S.C.; Shah, A.; Kumar, B. Versatility of fibula free flap in reconstruction of facial defects: a center study. J Maxillofac Oral Surg 2017, 16, 101–107. [Google Scholar] [CrossRef]
- Chang, E.I.; Zhang, H.; Liu, J.; Yu, P.; Skoracki, R.J.; Hanasono, M.M. Analysis of risk factors for flap loss and salvage in free flap head and neck reconstruction. Head Neck 2016, 38 (Suppl 1), E771–E775. [Google Scholar]
- Jewer, D.D.; Boyd, J.B.; Manktelow, R.T.; et al. Orofacial and mandibular reconstruction with the iliac crest free flap: a review of 60 cases and a new method of classification. Plast Reconstr Surg 1989, 84, 391–403. [Google Scholar]
- Ling, X.F.; Peng, X.; Samman, N. Donor-site morbidity of free fibula and DCIA flaps. J Oral Maxillofac Surg 2013, 71, 1604–1612. [Google Scholar] [PubMed]
- Mücke, T.; Ritschl, L.M.; Roth, M.; et al. Predictors of free flap loss in the head and neck region: a four-year retrospective study with 451 microvascular transplants at a single centre. J Craniomaxillofac Surg 2016, 44, 1292–1298. [Google Scholar]
- Bui, D.T.; Cordeiro, P.G.; Hu, Q.-Y.; Disa, J.J.; Pusic, A.; Mehrara, B.J. Free flap reexploration: indications, treatment, and outcomes in 1193 free flaps. Plast Reconstr Surg 2007, 119, 2092–2100. [Google Scholar]
- Chiu, Y.-H.; Chang, D.-H.; Perng, C.-K. Vascular complications and free flap salvage in head and neck reconstructive surgery: analysis of 150 cases of reexploration. Ann Plast Surg 2017, 78 (Suppl 2), S83–S88. [Google Scholar] [PubMed]
- Abou-Foul, A.K.; Borumandi, F. Anatomical variants of lower limb vasculature and implications for free fibula flap: systematic review and critical analysis. Microsurgery 2016, 36, 165–172. [Google Scholar] [PubMed]
- Yu, Y.; Zhang, W.B.; Liu, X.J.; Guo, C.B.; Yu, G.Y.; Peng, X. Three-dimensional accuracy of virtual planning and surgical navigation for mandibular reconstruction with free fibula flap. J Oral Maxillofac Surg 2016, 74, 1503.e1–1503.e10. [Google Scholar]
- Yuan, X.; Xuan, M.; Tian, W.; Long, J. Application of digital surgical guides in mandibular resection and reconstruction with fibula flaps. Int J Oral Maxillofac Surg 2016, 45, 1406–1409. [Google Scholar]
- Chang, S.-Y.; Huang, J.-J.; Tsao, C.-K.; et al. Does ischemia time affect the outcome of free fibula flaps for head and neck reconstruction? A review of 116 cases. Plast Reconstr Surg 2010, 126, 1988–1995. [Google Scholar]
- Abdel-Galil, K.; Mitchell, D. Postoperative monitoring of microsur- gical free tissue transfers for head and neck reconstruction: a systematic review of current techniques–part I. Non-invasive techniques. Br J Oral Maxillofac Surg 2009, 47, 351–355. [Google Scholar]
- Abdel-Galil, K.; Mitchell, D. Postoperative monitoring of microsur- gical free-tissue transfers for head and neck reconstruction: a systematic review of current techniques–part II. Invasive techniques. Br J Oral Maxillofac Surg 2009, 47, 438–442. [Google Scholar]
- Canales, F.; Lineaweaver, W.C.; Furnas, H.; et al. Microvascular tissue transfer in paediatric patients: analysis of 106 cases. Br J Plast Surg 1991, 44, 423–427. [Google Scholar] [CrossRef] [PubMed]
- Parry, S.W.; Toth, B.A.; Elliott, L.F. Microvascular free-tissue transfer in children. Plast Reconstr Surg 1988, 81, 838–840. [Google Scholar] [CrossRef]
- Upton, J.; Guo, L. Pediatric free tissue transfer: a 29-year experience with 433 transfers. Plast Reconstr Surg 2008, 121, 1725–1737. [Google Scholar] [CrossRef]
- Irjala, H.; Kinnunen, I.; Aitasalo, K. Mandibular reconstruction using free bone flap after preoperative chemoradiation. Eur Arch Otor- hinolaryngol 2012, 269, 1513–1518. [Google Scholar] [CrossRef]
- Van Genechten, M.L.V.; Batstone, M.D. The relative survival of composite free flaps in head and neck reconstruction. Int J Oral Maxillofac Surg 2016, 45, 163–166. [Google Scholar] [CrossRef] [PubMed]
- Las, D.E.; de Jong, T.; Zuidam, J.M.; Verweij, N.M.; Hovius, S.E.R.; Mureau, M.A.M. Identification of independent risk factors for flap failure: a retrospective analysis of 1530 free flaps for breast, head and neck and extremity reconstruction. J Plast Reconstr Aesthet Surg 2016, 69, 894–906. [Google Scholar] [CrossRef]
- Li, P.; Fang, Q.; Qi, J.; Luo, R.; Sun, C. Risk factors for early and late donorsite morbidity after free fibula flap harvest. J Oral Maxillofac Surg 2015, 73, 1637–1640. [Google Scholar] [CrossRef] [PubMed]
- Feuvrier, D.; Sagawa YJr Béliard, S.; Pauchot, J.; Decavel, P. Long-term donor-site morbidity after vascularized free fibula flap harvesting: clinical and gait analysis. J Plast Reconstr Aesthet Surg 2016, 69, 262–269. [Google Scholar] [CrossRef]
- Sieg, P.; Taner, C.; Hakim, S.G.; Jacobsen, H.-C. Long-term evaluation of donor site morbidity after free fibula transfer. Br J Oral Maxillofac Surg 2010, 48, 267–270. [Google Scholar] [CrossRef]
- Lonie, S.; Herle, P.; Paddle, A.; Pradhan, N.; Birch, T.; Shayan, R. Man- dibular reconstruction: meta-analysis of iliac- versus fibula-free flaps. ANZ J Surg 2016, 86, 337–342. [Google Scholar] [CrossRef]
- Autelitano, L.; Colletti, G.; Bazzacchi, R.; Biglioli, F. Ossification of vascular pedicle in fibular free flaps: a report of four cases. Int J Oral Maxillofac Surg 2008, 37, 669–671. [Google Scholar] [CrossRef] [PubMed]
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2018 by the author. The Author(s) 2018.
Share and Cite
Verhelst, P.-J.; Dons, F.; Van Bever, P.-J.; Schoenaers, J.; Nanhekhan, L.; Politis, C. Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting. Craniomaxillofac. Trauma Reconstr. 2019, 12, 183-192. https://doi.org/10.1055/s-0038-1651515
Verhelst P-J, Dons F, Van Bever P-J, Schoenaers J, Nanhekhan L, Politis C. Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting. Craniomaxillofacial Trauma & Reconstruction. 2019; 12(3):183-192. https://doi.org/10.1055/s-0038-1651515
Chicago/Turabian StyleVerhelst, Pieter-Jan, Flore Dons, Pieter-Jan Van Bever, Joseph Schoenaers, Lloyd Nanhekhan, and Constantinus Politis. 2019. "Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting" Craniomaxillofacial Trauma & Reconstruction 12, no. 3: 183-192. https://doi.org/10.1055/s-0038-1651515
APA StyleVerhelst, P.-J., Dons, F., Van Bever, P.-J., Schoenaers, J., Nanhekhan, L., & Politis, C. (2019). Fibula Free Flap in Head and Neck Reconstruction: Identifying Risk Factors for Flap Failure and Analysis of Postoperative Complications in a Low Volume Setting. Craniomaxillofacial Trauma & Reconstruction, 12(3), 183-192. https://doi.org/10.1055/s-0038-1651515