The two‐handed template for planning fibular free flap reconstruction of the head and neck

Fibular free flap reconstruction of head and neck defects is complex, and the anatomic relationships among components of the fibular flap pose challenges to reconstructive surgeons. Various techniques have been employed in planning for fibular free flap procedures, but these are often cumbersome and...

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Bibliographic Details
Published in:Head & neck 2022-01, Vol.44 (1), p.296-299
Main Authors: Wood, C. Burton, Ha, Austin Y., Puram, Sidharth V., Jackson, Ryan S., Pipkorn, Patrik
Format: Article
Language:English
Subjects:
Fibula - surgery
free flap
Free Tissue Flaps
Head
Head and neck
Humans
Leg
mandible
Mandibular Reconstruction
maxilla
microvascular reconstruction
Neck
Reconstructive Surgical Procedures
Septum
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Summary:Fibular free flap reconstruction of head and neck defects is complex, and the anatomic relationships among components of the fibular flap pose challenges to reconstructive surgeons. Various techniques have been employed in planning for fibular free flap procedures, but these are often cumbersome and difficult to implement in clinically. We devised a simplistic tool for pre‐operative leg selection, wherein the surgeon uses two hands to represent the various components of the fibular flap. The senior author has used this method to aid in leg selection for fibular free flaps. In all cases, utilization of this technique allowed for appropriate leg selection relative to the location of the vascular pedicle and posterior crural septum. The two‐handed template for fibular free flap reconstruction is a simple, reproducible, and affordable tool that can aid reconstructive surgeons when they are planning to use a fibular flap.
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.26901