No. 1088 Mid Hai Yuan Road, Gaoxin District, Kunming, Yunnan 650106, China,
Med Oral Patol Oral Cir Bucal. 2019 Sep 1;24(5):e691-e697. doi: 10.4317/medoral.23040.
The height of single-layer fibular flap is not long enough to return to the ideal height of the mandible. While the double-layer vascularized fibular osteomyocutaneous flap(VFF) is more complicated in shaping and fixation, along with a longer operation time. The aim of this study was to investigate the clinical effect of VFF combined with nonvascularized fibular flap(NVFF) in the reconstruction of mandibular defect.
From September 2016 to June 2018, 15 patients with benign mandibular tumors underwent reconstruction with VFF and NVFF. SimPlant Pro ™ software (version 11.04) was used to simulate reconstruction of the mandible preoperatively.
All patients were followed up for 8-23 month, with an average of 11.7 months. 15 VFFs survived well. Among the 15 NVFFs, one was almost completely absorbed, two with partial absorption, and the remaining survived regardless of the small amount of absorption. The postoperative absorption of the whole fibula was 7.53±6.362%, a favorable facial contour and speech function were attained.
The VFF combined with NVFF to reconstruct the mandibular defect can restore the vertical height of the mandible and achieve satisfactory clinical results.
单层腓骨瓣的高度不够，无法恢复到理想的下颌骨高度。而双层带血管化腓骨骨肌皮瓣（VFF）在塑形和固定方面更为复杂，手术时间也更长。本研究旨在探讨 VFF 联合非血管化腓骨瓣（NVFF）在颌骨缺损重建中的临床效果。
2016 年 9 月至 2018 年 6 月，15 例良性颌骨肿瘤患者接受 VFF 和 NVFF 重建。SimPlant Pro ™ 软件（版本 11.04）用于术前模拟下颌骨重建。
所有患者均随访 8-23 个月，平均 11.7 个月。15 例 VFF 均存活良好。15 例 NVFF 中，1 例几乎完全吸收，2 例部分吸收，其余均存活，无论吸收量小。整个腓骨的术后吸收率为 7.53±6.362%，获得了良好的面部轮廓和言语功能。
VFF 联合 NVFF 重建颌骨缺损可恢复下颌骨的垂直高度，获得满意的临床效果。
