Reconstruction after complete mandibular avulsion with double‐paddle fibular free flap. A case report

Microsurgery ◽  
2021 ◽  
Author(s):  
Marco Innocenti ◽  
Giulio Menichini ◽  
Elena Lucattelli ◽  
Anastasia Fidanza ◽  
Alessandro Innocenti
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Fibular Free Flap

Surgical treatment and reconstruction of central giant cell granuloma (CGCG) of mandible of aggressive behaviour – case report and literature review

2019 ◽  
Vol 8 (3) ◽  
pp. 1-5
Author(s):  
Agnieszka Piotrowska-Seweryn ◽  
Krzysztof Oleś ◽  
Maciej Grajek ◽  
Mykola Chekan ◽  
Adam Maciejewski ◽  
...  
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Free Flap ◽  
Aggressive Behaviour ◽  
Positive Staining ◽  
Giant Cell Granuloma ◽  
Central Giant Cell Granuloma ◽  
Dental Implantation ◽  
Fibular Free Flap

Introduction Central giant cell granuloma (CGCG) is a benign tumor-like lesion of a bone, mainly localized in mandible. It usually occurs in children and young adults under 30 y.o., predominantly in females. The etiology of the disease remains unknown. Clinically, two different types of CGCG have been distinguished – an unaggressive one, in which the granuloma grows slowly, often asymptomatically, and aggressive type which is characteristic for increased bone destruction, severe pain, large size, rapid growth, high recurrence rate and complications such as root resorption, tooth displacement or cortical bone perforation. The treatment of CGCG depends on its type. In cases of granulomas of aggressive behaviour the following therapeutic procedures have been proposed: intralesial corticosteroid injections, interferon and calcitonin therapy as well as immunotherapy with anti-bone resorptive human monoclonal antibody like denosumab. However, in most cases nonsurgical management remains insufficient. Also, local curettage of the lesion results in high risk of recurrence. Therefore, radical surgical resection, commonly combined with bone reconstruction, is the most recommended way of treatment for aggressive of CGCG. Case report The authors present a case of a 31-year-old female patient treated at the Department of Oncological and Reconstructive Surgery, Maria Skłodowska-Curie Memorial Cancer Centre and Institute of Oncology in Gliwice due to central giant cell granuloma of a mandible. The resection of CGCG localized in mandible on the right side together with fibular free flap reconstruction has been performed, with satisfactory aesthetic effect. Positive staining for CD68 and CD31 was found in immunohistochemic examination and expression of Ki67 marker was 13%. No complications were reported in the postoperative period. The six-month follow up revealed no recurrences. Conclusions The authors claim that radical surgical management should be performed in all patients with CGCG of aggressive behaviour. Fibular free flap is recommended for reconstruction in large bone defects. It results in tumor-free margins at the resection and satisfactory cosmetic outcome. Quality of life and facial appearance can be improved with dental implantation after certain disease-free period. A regular follow-up is essential as an element of holistic oncological process.

Osteoradionecrosis and microvascular free flap failure managed with negative pressure wound therapy: A case report

2021 ◽  
pp. 1-6
Author(s):  
Michael J. Gigliotti ◽  
Neel Patel ◽  
Caroline McLaughlin ◽  
Alexis Rothermel ◽  
Cathy Henry ◽  
...  
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Flap Failure ◽  
Microvascular Free Flap

scholarly journals Facial Nerve Reconstruction with Free Vascularized Composite Nerve Flap from Intrapetrous Portion to Terminal Branches—Case Report

2021 ◽  
Author(s):  
Pedro C. Cavadas ◽  
Magdalena Baklinska
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Facial Nerve ◽  
Free Flap ◽  
Nerve Reconstruction ◽  
Nerve Stump ◽  
Stylomastoid Foramen ◽  
Facial Nerve Reconstruction ◽  
Delayed Reconstruction

AbstractThe case presented here is a delayed reconstruction of a facial nerve defect after radical parotidectomy without a useful nerve stump at the stylomastoid foramen. A composite free flap was used to reconnect the nerve’s intrapetrous portion to the peripheral branches and reconstruct the soft-tissue deficit.

The wrist as an immediate free flap carrier for reconstruction of the pelvis; a case report

1987 ◽  
Vol 40 (4) ◽  
pp. 427-431 ◽  
Author(s):  
Bernard McC. O'Brien ◽  
Ronald M. Barton ◽  
Julian J. Pribaz
Keyword(s):  
Case Report ◽  
Free Flap

scholarly journals Reconstruction of a long defect of the ulnar artery and nerve with an arterialized neurovenous free flap in a teenager: A case report and literature review

Microsurgery ◽  
2017 ◽  
Vol 38 (2) ◽  
pp. 209-217
Author(s):  
Diogo Casal ◽  
Diogo Pais ◽  
Eduarda Mota-Silva ◽  
Giovanni Pelliccia ◽  
Inês Iria ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Free Flap ◽  
Ulnar Artery

Osteotomising the fibular free flap: an anatomical perspective

2016 ◽  
Vol 54 (6) ◽  
pp. 692-693 ◽  
Author(s):  
A.M. Fry ◽  
Dave Laugharne ◽  
Keith Jones
Keyword(s):  
Free Flap ◽  
Fibular Free Flap

P.316 Fibular free flap for almost total maxillary reconstruction

2006 ◽  
Vol 34 ◽  
pp. 212
Author(s):  
F.J. Alamillos ◽  
A. Dean ◽  
A. Redondo ◽  
J.J. Ruiz
Keyword(s):  
Free Flap ◽  
Fibular Free Flap

scholarly journals Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Catherine Kilmartin ◽  
Katharine D. Harper ◽  
Chirag Mehta ◽  
Joseph Thoder ◽  
Andrew Newman
Keyword(s):  
Limb Salvage ◽  
Free Flap ◽  
Radial Head ◽  
Radial Head Prosthesis ◽  
Review Of The Literature ◽  
Joint Function ◽  
Radial Head Arthroplasty ◽  
Elbow Function ◽  
Fibular Free Flap ◽  
Proximal Forearm

Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore joint function has been reported. We suggest that, for proximal forearm fractures, this technique can be used to restore elbow joint function in limb salvage.

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