PMID- 30055855
OWN - NLM
STAT- MEDLINE
DCOM- 20190813
LR  - 20190813
IS  - 1532-1940 (Electronic)
IS  - 0266-4356 (Linking)
VI  - 56
IP  - 8
DP  - 2018 Oct
TI  - Non-vascularised fibular bone graft after vascular crisis: compensation for the 
      failure of vascularised fibular free flaps.
PG  - 667-670
LID - S0266-4356(18)30212-2 [pii]
LID - 10.1016/j.bjoms.2018.06.018 [doi]
AB  - After reconstruction of a segmental mandibular defect with a fibular free flap, a 
      vascular crisis can be detected clinically and a "no-flow" phenomenon found 
      during re-exploration. Traditional methods used to solve this include removal of 
      the failed flap and delayed mandibular reconstruction, or restoration of the 
      defect with a functional reconstruction plate or contralateral fibular free flap. 
      Our aim therefore was to investigate under what circumstances it is feasible to 
      use a non-vascularised fibular bone graft (NVFB) as a free bone graft after the 
      failure of a vascularised fibular free flap. From 1 January 2010-31 December 
      2014, 10 patients who had NVFB after failure of a fibular free flap were included 
      in the study. All patients were treated at the Peking University School and 
      Hospital of Stomatology. NVFB were preserved successfully without infection in 
      all 10 cases, and follow-up imaging showed that it had incorporated well with the 
      residual mandible, the basic function and facial aesthetics of which were 
      maintained. In conclusion we have identified that by precise selection of 
      patients, detailed preoperative planning, and meticulous postoperative care, NVFB 
      can be used as a "rescue" technique after failure of a fibular free flap, and can 
      successfully restore the segmental mandibular defect and facial contour.
CI  - Copyright (c) 2018. Published by Elsevier Ltd.
FAU - Xiao, N
AU  - Xiao N
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China.
FAU - Zhang, L
AU  - Zhang L
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China. Electronic address: 
      zhlei_doctor@sina.com.
FAU - Peng, X
AU  - Peng X
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China.
FAU - Mao, C
AU  - Mao C
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China.
FAU - Zhang, J
AU  - Zhang J
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China.
FAU - Cai, Z G
AU  - Cai ZG
AD  - Department of Oral and Maxillofacial Surgery, Peking University School and 
      Hospital of Stomatology, Beijing 100081, China.
LA  - eng
PT  - Journal Article
DEP - 20180725
PL  - Scotland
TA  - Br J Oral Maxillofac Surg
JT  - The British journal of oral & maxillofacial surgery
JID - 8405235
MH  - Adult
MH  - Bone Plates
MH  - Bone Transplantation/*methods
MH  - Esthetics
MH  - Female
MH  - Fibula/*blood supply/*transplantation
MH  - Free Tissue Flaps/*blood supply/*transplantation
MH  - Graft Rejection
MH  - Humans
MH  - Male
MH  - Mandibular Diseases/diagnostic imaging/*surgery
MH  - Mandibular Reconstruction/*methods
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Radiography, Panoramic
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Fibular free flap
OT  - Non-vascularised bone graft
OT  - Vascular crisis
EDAT- 2018/07/30 06:00
MHDA- 2019/08/14 06:00
CRDT- 2018/07/30 06:00
PHST- 2017/12/12 00:00 [received]
PHST- 2018/06/27 00:00 [accepted]
PHST- 2018/07/30 06:00 [pubmed]
PHST- 2019/08/14 06:00 [medline]
PHST- 2018/07/30 06:00 [entrez]
AID - S0266-4356(18)30212-2 [pii]
AID - 10.1016/j.bjoms.2018.06.018 [doi]
PST - ppublish
SO  - Br J Oral Maxillofac Surg. 2018 Oct;56(8):667-670. doi: 
      10.1016/j.bjoms.2018.06.018. Epub 2018 Jul 25.