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- Title
Outcome of Mandibular Reconstruction with Fibula free Flaps: Retrospective Analysis of Complications.
- Authors
Murugan, Senthil; Bera, Rathindra Nath; Tiwari, Preeti
- Abstract
Rationale: Fibula free flap has become the workhorse for head and neck reconstruction. In this retrospective study we aimed at determining the outcomes of mandibular reconstruction with fibula free flaps. Methods: Any patient who underwent a mandibulectomy and reconstructed with vascularised fibula flap was included in the study. The predictor variables were age, sex, type of lesion, tobacco and alcohol use, tracheostomy, neck dissection, post operative radio and chemotherapy. Flap failure, fistulas, dehiscence, bone exposure and hardware complications were the outcomes. A P value of < 0.05 was considered statistically significant. Results: 242 patient records were selected for evaluation. PORT, CRT, neck dissection, no. of segments were the factors significantly associated with every complication. Malignant lesion was significantly associated with every complication except for plate fracture. Plate fracture although occurred more frequently with malignant diseases, the association was insignificant. Tobacco consumption was significantly associated with increased incidence of post –operative complications. Alcohol consumption was significantly associated with plate fracture, screw loosening, fistulas, bone exposure and flap failure. Conclusion: Overall the fibula free flap has a success rate of 90.0% with fistulas being the most significant complication.
- Subjects
FREE flaps; FIBULA; INDEPENDENT variables; RETROSPECTIVE studies; ALCOHOL drinking; NECK dissection
- Publication
Indian Journal of Otolaryngology & Head & Neck Surgery, 2023, Vol 75, Issue 2, p563
- ISSN
2231-3796
- Publication type
Article
- DOI
10.1007/s12070-022-03344-2