Division of Plastic Surgery, Department of Surgery, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan.
Head Neck. 2013 Aug;35(8):E231-3. doi: 10.1002/hed.23049. Epub 2012 Jun 19.
The free fibular osteocutaneous flap is a commonly used flap for mandible and buccal mucosa reconstruction in head and neck cancer surgery. However, the skin paddle restriction from the intermuscular septum often limits the soft tissue reconstruction.
We have proposed a new modified chimeric fibular osteocutaneous flap design based on the combination of a traditional fibular flap and a peroneal artery perforator fasciocutaneous flap to overcome the restriction from intermuscular septum.
We successfully applied this modified chimeric free fibular osteocutaneous flap design to 2 patients after buccal cancer wide excision surgery.
The modified free chimeric fibular flap can be easily applied to a segmental defect over the mandible and adjacent soft tissue without restrictions between the bone and the skin paddle. Furthermore, this skin paddle design can also serve as an extra skin paddle to reconstruct an outer cheek skin defect.
游离腓骨肌皮瓣是头颈部癌症手术中下颌骨和颊黏膜重建的常用皮瓣。然而，由于肌间隔的限制，常常限制了软组织的重建。
我们提出了一种新的改良组合腓骨肌皮瓣设计，基于传统腓骨皮瓣和腓动脉穿支筋膜皮瓣的结合，以克服肌间隔的限制。
我们成功地将这种改良的组合游离腓骨肌皮瓣设计应用于 2 例颊癌广泛切除术后的患者。
改良的游离组合腓骨瓣可以很容易地应用于下颌骨和相邻软组织的节段性缺损，而不会出现骨与皮瓣之间的限制。此外，这种皮瓣设计还可以作为额外的皮瓣来重建外侧颊部皮肤缺损。
