Abstract
Background: In maxillofacial surgery tumor ablation often causes continuity defect of mandible which results anatomical and functional morbidity of the patient. The reconstruction of the mandibular defect is mandatory to restore the oral function and speech. Various methods of immediate reconstruction are implemented by different authors time to time including autogenous non vascularized bone graft, allogenic bone graft , auto frozen mandible or reconstruction plates and others. Each has its own advantages and disadvantages including donor site morbidity, failure and others. The purpose of the present case report is to establish micorvascular free fiblula is as a better option to other methods in immediate reconstruction of mandibular continuity defect. Objective: Anatomical, functional and esthetic rehabilitation of patients after mandibular resection Method: Revascularization of free fibula graft by microvascular anastomosis of paroneal artery with facial artery at the segmental defect site of mandible. Result: Remarkable contour, cosmesis and early functional rehabilatation of the patient. Conclusion: Microvascular reconstruction with fibula is the better option for defect correction and early rehabilitation in patients with mandibular continuity defect. Key words: Mandible, defect; reconstruction; microvascular technique; fibula graftDOI: 10.3329/bsmmuj.v1i1.3698 BSMMU J 2008; 1(1): 35-38
Highlights
Tumor, malignancy, radionecrosis, cystic lesion, trauma, infection or congenital anomalies may be reasons for mandibular defects
The management of mandibular continuity defect has changed in the last decade
The most frequently used technique for reconstruction of extended defect is the transfer of vascularized osseous free graft
Summary
Malignancy, radionecrosis, cystic lesion, trauma, infection or congenital anomalies may be reasons for mandibular defects. The most frequently used technique for reconstruction of extended defect is the transfer of vascularized osseous free graft. The fibula, scapula, rib and the illiac crest are the preferred donor-sites for reconstruction.[4, 5] It is essential to establish bone viability after revascularization of the graft. Include resection of mandible and immediate reconstruction to maintain the function- speech, mastication & deglutation, facial contour and oral competence.[6] the best option to reconstruct mandibular continuity defect has not yet been satisfactorily resolved and represents a challenge for oral and maxillofacial surgeons. Of Bangabandhu Sheikh Mujib Medical University with 2 years history of slowly growing lesion at the left side of the lower face. Address of correspondence to: Dr Quazi Billur Rahman, Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
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