Fibular free flaps in the management of osteomyelitis of the mandible

Cristian M. Slough; Brian M. Woo; Brett A. Ueeck; Mark K. Wax

doi:10.1002/hed.20801

Fibular free flaps in the management of osteomyelitis of the mandible

Cristian M. Slough, Brian M. Woo, Brett A. Ueeck, Mark K. Wax

Otolaryngology

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Background. Fibular free flaps are an alternative method in the management of chronic osteomyelitis of the mandible without osteoradionecrosis. Methods. A prospective review of 2 cases of chronic osteomyelitis of the mandible managed with a fibular free flap was conducted. Patient satisfaction and aesthetic results were examined. Follow-up to 9 months was achieved and radiographic studies conducted. The current literature on the treatment of chronic osteomyelitis of the mandible and the use of free flaps in its management was reviewed. Results. The 2 patients with chronic osteomyelitis of the mandible whose conservative management failed were effectively treated with the use of a fibular free flap reconstruction. Conclusion. Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.

Original language	English (US)
Pages (from-to)	1531-1534
Number of pages	4
Journal	Head and Neck
Volume	30
Issue number	11
DOIs	https://doi.org/10.1002/hed.20801
State	Published - Nov 1 2008

Keywords

Fibular
Free flap
Mandible
Osteomyelitis
Reconstruction

ASJC Scopus subject areas

Otorhinolaryngology

Access to Document

10.1002/hed.20801

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title = "Fibular free flaps in the management of osteomyelitis of the mandible",

abstract = "Background. Fibular free flaps are an alternative method in the management of chronic osteomyelitis of the mandible without osteoradionecrosis. Methods. A prospective review of 2 cases of chronic osteomyelitis of the mandible managed with a fibular free flap was conducted. Patient satisfaction and aesthetic results were examined. Follow-up to 9 months was achieved and radiographic studies conducted. The current literature on the treatment of chronic osteomyelitis of the mandible and the use of free flaps in its management was reviewed. Results. The 2 patients with chronic osteomyelitis of the mandible whose conservative management failed were effectively treated with the use of a fibular free flap reconstruction. Conclusion. Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.",

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AU - Slough, Cristian M.

AU - Woo, Brian M.

AU - Ueeck, Brett A.

AU - Wax, Mark K.

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N2 - Background. Fibular free flaps are an alternative method in the management of chronic osteomyelitis of the mandible without osteoradionecrosis. Methods. A prospective review of 2 cases of chronic osteomyelitis of the mandible managed with a fibular free flap was conducted. Patient satisfaction and aesthetic results were examined. Follow-up to 9 months was achieved and radiographic studies conducted. The current literature on the treatment of chronic osteomyelitis of the mandible and the use of free flaps in its management was reviewed. Results. The 2 patients with chronic osteomyelitis of the mandible whose conservative management failed were effectively treated with the use of a fibular free flap reconstruction. Conclusion. Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.

AB - Background. Fibular free flaps are an alternative method in the management of chronic osteomyelitis of the mandible without osteoradionecrosis. Methods. A prospective review of 2 cases of chronic osteomyelitis of the mandible managed with a fibular free flap was conducted. Patient satisfaction and aesthetic results were examined. Follow-up to 9 months was achieved and radiographic studies conducted. The current literature on the treatment of chronic osteomyelitis of the mandible and the use of free flaps in its management was reviewed. Results. The 2 patients with chronic osteomyelitis of the mandible whose conservative management failed were effectively treated with the use of a fibular free flap reconstruction. Conclusion. Microvascular reconstruction with a fibular free flap should be considered as a treatment option in the management of chronic osteomyelitis of the mandible.

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KW - Reconstruction

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