Faculty Collaboration Database

Long-term follow-up with mention of complications in pediatric microvascular mandibular reconstruction. Int J Pediatr Otorhinolaryngol 2018 Feb;105:154-157

Date

02/16/2018

Pubmed ID

29447804

DOI

10.1016/j.ijporl.2017.12.022

Scopus ID

2-s2.0-85039164937 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

The fibular free flap has become the gold standard for mandibular reconstruction. Despite its vast array of benefits, this procedure has the potential for several complications. In the pediatric setting, the immature skeleton sets the stage for an increased risk of future skeletal abnormalities, both in the jaw, and in the donor site. Herein we describe the case of a toddler who underwent mandibular reconstruction using a fibula free flap and, years later, subsequently developed ankle instability as a result of residual fibula migration. This indicates the need for careful consideration of long-term issues in the growing pediatric skeleton prior to surgery.

Author List

Akakpo K, Iobst C, Old M, Grischkan J

Author

Kenneth Akakpo MD Assistant Professor in the Otolaryngology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Bone Transplantation
Child, Preschool
Fibula
Free Tissue Flaps
Humans
Magnetic Resonance Imaging
Male
Mandibular Neoplasms
Mandibular Reconstruction