Ducic Yadranko, Defatta Robert, Wolfswinkel Erik M, Weathers William M, Hollier Larry H
Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Department of Plastic Surgery, Williams Center Plastic Surgery Specialists, Latham, New York.
Craniomaxillofac Trauma Reconstr. 2013 Dec;6(4):233-6. doi: 10.1055/s-0033-1349208. Epub 2013 Sep 16.
Free fibula transfer can be associated with a slow and tedious dissection/harvest due to difficulty in visualizing the deeper structures. The purpose of this article is to review the first author's (Y.D.) experience with a novel technique for expedited harvest of fibula free flaps for mandibular reconstruction. A retrospective chart review was performed using the first author's clinical practice using chart data from September 1997 to August of 2007. All patients with available chart data who had undergone free fibular transfer for oromandibular reconstruction were included in this study. Charts that met the specified inclusion criteria were reviewed for patient demographic information, reason for free tissue transfer, flap loss rates (partial and total) and reasons for flap loss, average fibula harvest time (tourniquet time), and foot and ankle function postoperatively. During this time, a total of 283 fibula free flaps were performed in 276 patients. The average fibula harvest time (tourniquet time) for all cases was 22.6 minutes, with a range of 14 to 29 minutes. A total of 13 flaps were unsuccessful (failure rate of 4.6%, with 5 total and 8 partial flap losses). This newly described technique will allow for expedited and simplified harvest of fibula free flaps.
由于难以看清深层结构，游离腓骨移植可能伴随着缓慢且繁琐的解剖/获取过程。本文的目的是回顾第一作者（Y.D.）使用一种新型技术快速获取游离腓骨瓣用于下颌骨重建的经验。使用第一作者1997年9月至2007年8月的临床实践图表数据进行回顾性图表审查。本研究纳入了所有有可用图表数据且接受游离腓骨移植进行口腔颌面部重建的患者。对符合指定纳入标准的图表进行审查，以获取患者人口统计学信息、游离组织移植的原因、皮瓣丢失率（部分和全部）及皮瓣丢失原因、平均腓骨获取时间（止血带时间）以及术后足踝功能。在此期间，276例患者共进行了283次游离腓骨瓣移植。所有病例的平均腓骨获取时间（止血带时间）为22.6分钟，范围为14至29分钟。共有13例皮瓣移植失败（失败率为4.6%，其中5例完全失败，8例部分失败）。这种新描述的技术将允许快速且简化游离腓骨瓣的获取。
