J Surg Tech Proced | Volume 7, Issue 2 | Research Article | Open Access

Mandibular Reconstruction in Pediatric Patients by Fibula - Free Flap

Alarcon N1 *, Herrera H1 , Maldonado A1 and Ruben M1,2

1Department of Oral and Maxillofacial, University of Carabobo Maxillofacial Residency Program, Dr Angel Larralde University Hospital, Venezuela 2Department of Craniofacial Surgery, Palmer Childrens Hospital, Maryland, USA

*Correspondance to: Nayari Alarcon 

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Objective: The aim of this study was to evaluate the mandibular reconstruction in pediatric patients by fibula-free flap. Materials and Methods: The study was conducted in 12 pediatric patients, aged 8 to 13 years, who presented mandibular bone defects due to benign pathologies and met criteria for fibula-free flap reconstruction. These defects were classified and underwent surgery with prior informed consent by their parental consent form. Previous computed tomography and immediate and late postoperative control were available. Result: Mandibular reconstruction was performed by taking and placing a free flap of double barrel fibula technique, obtaining as results in the postoperative tomographic analysis, with the evidence of the vascularization of the reconstructed tissues, which maintain the vertical and horizontal bone dimensions over time, with a decrease of 0.2 mm on average, these being acceptable and expected reabsorption. Conclusion: The fibula-free flap represents the ideal treatment for mandibular reconstruction in pediatric patients with mandibular defects due to benign pathologies, achieving immediate reconstruction and facial symmetry, maintaining functions and returning psychosocial stability to patients, without associated morbidities


Mandibular reconstruction; Fibular free flap; Pediatric patients; Benign mandibular pathologies; Cone Beam tomography


Alarcon N, Herrera H, Maldonado A, Ruben M. Mandibular Reconstruction in Pediatric Patients by Fibula-Free Flap. J Surg Tech Proced. 2023; 7(2): 1062..

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