Eski Muhitdin, Aykan Andac, Sahin Ismail, Isik Selcuk
Department of Plastic and Reconstructive Surgery, Gulhane Military Medical Academy, Ankara, Turkey.
J Craniofac Surg. 2012 Jan;23(1):e50-2. doi: 10.1097/SCS.0b013e318241dc25.
Osseous free flaps are major reconstruction choices of the segmental mandibular defects. However, etiology of defects in mandible is variable; tumor-related surgery, trauma, radiation, or congenital anomalies are the most common causes. The advent of microvascular surgery has achieved the reconstruction of complex mandibular defects. The options for bony free-tissue transfer for mandibular reconstruction primarily depend on the fibula, iliac, scapula, and radius bone. The free fibular flap continues to be first choice in the reconstruction of mandibular defects because of its advantages. In this report, rare complication of vascular pedicle calcification after mandibular reconstruction with free fibular flap is presented.
骨游离皮瓣是节段性下颌骨缺损的主要重建选择。然而，下颌骨缺损的病因多种多样；肿瘤相关手术、创伤、放疗或先天性异常是最常见的原因。微血管手术的出现实现了复杂下颌骨缺损的重建。用于下颌骨重建的骨游离组织移植选择主要取决于腓骨、髂骨、肩胛骨和桡骨。由于其优点，游离腓骨瓣仍然是下颌骨缺损重建的首选。在本报告中，介绍了游离腓骨瓣下颌骨重建术后罕见的血管蒂钙化并发症。
