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- Title
Perforator-based propeller flap for fibula free flap donor site repair: A novel surgical technique.
- Authors
Morgan, Patrick F.; Hornig, Joshua D.; Momin, Suhael R.; Albergotti, William G.; Brody, Robert M.; Graboyes, Evan M.
- Abstract
The osteocutaneous fibula free flap (OCFFF) is the most frequently utilized free flap for the reconstruction of composite defects involving either the mandible or maxilla due to its long pedicle, the ability to support osseointegrated implants, the length of available bone, and the potential for more than one skin paddle.[[1], [3], [5], [7]] Closure of the fibula skin paddle donor site commonly occurs via primary closure, split-thickness skin graft (STSG), or skin-stretching devices.[9] However, each of these techniques has significant drawbacks. The OCFFF skin paddle is designed based on the expected location of the distal perforator without Dopplering.[10] A linear anterior incision is made along the length of the fibula, the distal perforator identified, and the fibula skin paddle position adjusted as needed. The propeller flap is rotated 180 degrees (clockwise and counterclockwise) into the fibula skin paddle donor site in order to determine the optimal rotation that minimizes stress on the perforator (Fig.).
- Subjects
PERFORATOR flaps (Surgery); FREE flaps; MANDIBLE surgery; OSTEORADIONECROSIS; OPERATIVE surgery; PROPELLERS; TIBIAL arteries; AUTOGRAFTS; FIBULA; SURGICAL flaps; RETROSPECTIVE studies
- Publication
Laryngoscope, 2020, Vol 130, Issue 5, p1233
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.28232