Abstract
Free flaps are the gold standard for reconstruction of the mandible, tongue and floor
of the mouth. Free fibular flaps are the most preferable option for reconstruction
of complex mandibular defects, as well as for tongue and mouth floor reconstruction,
since they are harvested easily, present excellent sculptability and good functional
outcomes. Alternative options for bone reconstruction include the fibular and iliac
crest free flap, and for soft tissue reconstruction include the anterolateral thigh,
the radial forearm free flap, and the nasolabial island flap. The principles of the
surgical approach include resection of the mandibular segment, intraoperative evaluation
of the defect, and various surgical manipulations of the flap on site to reconstruct
the defect. Advances in computerized preoperative planning have allowed virtual simulation
of the defect and fabrication of an individualized stereolithic mandibular model.
This short review discusses the current trends of bone and soft tissue flaps for complex
oromandibular reconstructions aiming to present a comprehensive review that the readers
would find interesting and informative.
Keywords
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Article info
Publication history
Published online: October 23, 2019
Footnotes
This paper is part of a Supplement supported by the European Federation of Societies of Microsurgery (EFSM) and the Serbian Society for Reconstructive Microsurgery (SSRM).
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