The Use of Free Fibular Flap with De-epithelization Technique for Reconstruction of Oral and Mandibular Squamous Cell Carcinoma in Elderly: A Case Report

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Published: Nov 16, 2022
DOI: https://doi.org/10.47191/ijmscrs/v2-i11-29
Keywords:
Free fibular flap De-epithelization Mandibular squamous cell carcinoma

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Risandy Ditia Widhani
Intern of Department of Plastic Reconstructive and Aesthetic Surgery, Gatot Soebroto Indonesia Army Central Hospital.
Budiman
Staff of Department of Plastic Reconstructive and Aesthetic Surgery, Gatot Soebroto Indonesia Army Central Hospital.

Abstract

Background: The number of elderly patients with malignant head and neck tumors  has been rising, resulting in an increase in the number of elderly patients requiring complex reconstructive surgery. The mandible is an important part of the human face, so in cases of mandibular reconstruction, the surgeon has a major responsibility to maximize function as well as cosmetics. The free fibular flap has been commonly used for mandibular reconstruction with its own indications, advantages and disadvantages.


Methods: A 68-years-old Man with chief complaint a not healing lesion on the mandible. The patient was diagnosed with oral and mandibular squamous cell carcinoma. The patient underwent total jaw resections and after that a free fibular flap was used immediately for mandibular reconstruction.


Result: On post-operative days 3- 6 free fibular flaps demonstrate colour and fine aesthetic appearance. There were no major post-operative complications. There no signs of infection, vascular crisis and haematoma were observed.


Conclusion: The free fibular flap and de-epithelization technique are a safe and dependable options for comprehensive functional and aesthetic mandibular defect in elderly.


 

Article Details

How to Cite
Widhani, R. D. ., & Budiman. (2022). The Use of Free Fibular Flap with De-epithelization Technique for Reconstruction of Oral and Mandibular Squamous Cell Carcinoma in Elderly: A Case Report. International Journal of Medical Science and Clinical Research Studies, 2(11), 1305–1309. https://doi.org/10.47191/ijmscrs/v2-i11-29
Issue
Vol. 2 No. 11 (2022): Volume 02 Issue 11 November 2022
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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