Title: Microvascularized fibula and their employment in the reconstructions of jaws
Abstract:
Face tumors make us more sensitized due to their destruction. Each surgical process is a challenge, especially when there is a great reconstruction to be carried out due to the anatomical defect created by the resection of the cancer in the region of the head and neck, which motivates the development of new reconstruction techniques. Reconstructions with micro vascularized fibula retail are a routine in our institution, so this makes that we seek alternatives to give better comfort to our patients, covering functionality and aesthetic issues.
Objective: Our goal was to show the solution that we found for the outcome of reconstructions with micro vascularized fibula retail in large defects in jaws and adjacent structures and especially in patients requiring radiotherapy. Method: Patients who require complementary therapy with radiotherapy, there is a security time to exercise or indicate radiation treatment. With the variables of more contact surface area between the segments, which facilitates bone neoformation and retail stability, thus decreasing the chance of losses of osseous segments or necrosis.
Conclusion: These variables in the reconstruction technique of the fibular micro vascularized retail have raised a satisfactory result in aesthetics, radiographic, function and in bone neoformation between the new segments of the fibula in the recommendation of the defect left by the tumor.
