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J Maxillofac Oral Surg. 2009 Mar;8(1):17-8. doi: 10.1007/s12663-009-0004-0. Epub 2009 Jun 10.

Fibula free flap splitting for mandible reconstruction: A technical note.

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Dept. of Oral and Maxillofacial Surgery, University Hospital, Madrid, Spain ; Dept. Oral and Maxillofacial Surgery, University Hospital La Paz, Po de la Castellana 261, PO. 28046, Madrid, Spain.


Conformation of the fibula flap to passively adapt to the remaining mandible may be indeed challenging. A review of the 'axial splitting' technique for fibula free flaps is presented with a novel method of osteosynthesis. Adequate mandibular angle shape is achieved by performing this type of osteotomy with a minimal use of titanium hardware for flap insetting.


Fibula free flap; Fibula osteotomies; Head and neck reconstruction; Mandible reconstruction; Microvascular reconstruction

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