PP175: Runner back to training after reconstruction of jaw with microvascularized fibula flap

Abstract

Introduction Resection of face tumors involving the maxilla and mandible has left big sequels, and the possibility of the use of microvascularized flaps for reconstruction improved the quality of life of cancer patients, returned masticatory function, speech and aesthetics and allows the return of some patients their normal activities, like the practice of athletics. Objective Show case of a patient after reconstruction of the mandible with fibular flap microvascularized, which could run a marathon of 42 km. Method Using microvascularized fibula flap reconstruction of the mandible is a routine Erastus Gaertner Hospital in Curitiba. The patient underwent resection of the body and ramus of the jaw bone due to an injury diagnosed as ameloblastoma. Was reconstructed with a fibula flap microvascularized. In the anterior region was built a niche in the remainder of the mandible was introduced where the tip of the fibula. This was determined by titanium miniplates. Postoperatively the patient was released to perform physiotherapy. However, as an athlete, not settled with the results of physiotherapy and was hiking and small races and enlarging the same, coming to participate in marathon 42 km after 19 months of surgery. Results Patient NMM female, 39 years old, had ameloblastoma in body and ascending branch of the left jaw, which was resected. After tumor resection, reconstruction was performed with fibular flap microvascularized. Conclusion Patient showed complete recovery of leg function after donation retail microvascularized fibula. There is need to encourage patients to lead a normal life.