Versatility of vascularized fibula and soft tissue graft in the reconstruction of the mandibulofacial region

Abstract

The anatmomical region “laterodorsal calf” with the fibula, the flexor muscles and the overlying skin served by the peroneal vessels, is a suitable donor region particularly for cmombined microsurgical transfer of bone and soft tissue. In a five and a half year period, 59 reconstructions, 39 (66%) with and 20 (34%) without soft tissue transfer, were performed. The versatility and the functional and esthetic results after osseous, osteocutaneous, ostemomuscular and ostemomyocutaneous tissue transfer are presented.