The Use of Free Fibular Flap with De-epithelization Technique for Reconstruction of Oral and Mandibular Squamous Cell Carcinoma in Elderly: A Case Report

Abstract

Background: The number of elderly patients with malignant head and neck tumors has been rising, resulting in an increase in the number of elderly patients requiring complex reconstructive surgery. The mandible is an important part of the human face, so in cases of mandibular reconstruction, the surgeon has a major responsibility to maximize function as well as cosmetics. The free fibular flap has been commonly used for mandibular reconstruction with its own indications, advantages and disadvantages. Methods: A 68-years-old Man with chief complaint a not healing lesion on the mandible. The patient was diagnosed with oral and mandibular squamous cell carcinoma. The patient underwent total jaw resections and after that a free fibular flap was used immediately for mandibular reconstruction. Result: On post-operative days 3- 6 free fibular flaps demonstrate colour and fine aesthetic appearance. There were no major post-operative complications. There no signs of infection, vascular crisis and haematoma were observed. Conclusion: The free fibular flap and de-epithelization technique are a safe and dependable options for comprehensive functional and aesthetic mandibular defect in elderly. Keywords: Free fibular flap, De-epithelization, Mandibular squamous cell carcinoma.