IJSR - International Journal of Scientific Research

Dr. Goil Pradeep; Dr. Nikita G. Rolekar

Volume : VIII, Issue : VIII, August - 2019

THE RETROSPECTIVE STUDY OF ASSESSING EFFICACY OF FREE FIBULA FLAP FOR COMPOSITE ORO–MANDIBULAR DEFECT

Dr. Goil Pradeep, Dr. Nikita G. Rolekar

Abstract :

Patients and Methods: Out of 455 free flaps, our study included 163 cases of oral cancer with stage III and stage IV operated in our institute from 2013 to 2018. 95 were male and 68 were female with age from 45–75yrs. All composite oromandibular defect was reconstructed with vascularised osteomyocutaneous free fibular flap, followup from 6 months to 2 years to evaluate the efficacy of free fibular flap. Result: 154 cases (95%) of free fibula flap reconstruction had a good recovery, 9 cases (5%) had re–exploration, out of that in 2 cases we used regional flaps and in 1 case we used second free fibular flap.,24 cases(15%) had wound dehiscence, 154 patient (95%)started oral feeding, with 146 patients(90%) had good swallowing, mastication ,articulation function. Conclusion: Osteomyocutaneous free fibula flap is workhorse flap for reconstruction of composite oro–mandibular defect due to a single stage procedure, provides good functional and aesthetic result.