Abstract
Our department has begun to use fibular flaps with a vascular pedicle frequently for reconstruction after segmental mandibulectomy because of the high degree of freedom in reconstruction, reliability of the blood flow of the flaps for soft tissue defects, and mildness of surgical invasion to the donor sites. However, it was difficult to reproduce the morphology appropriate for bone defects including curved regions or the occlusal relationship with the maxillary alveoli. To solve these problems, we introduced a new fibular flap reconstruction system. This system has not only made possible the reproduction of the morphology appropriate for bone defects including curved regions, reproduction of the occlusal relationship with the maxillary alveoli, and elimination of the dead space at bone junctions, but also offers various advantages, such as a marked shortening of the operation time. We aim to further improve the accuracy, simplicity, and cost of the system.
