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Advanced Technical IVT

fibula free flap

Pronunciation: FIB-yoo-lah free flap

Vascularized bone graft from the fibula used for mandibular reconstruction in head and neck cancer surgery.

Full Definition

A fibula free flap is a microvascular reconstruction technique that utilizes a segment of the fibula bone along with its associated blood vessels and soft tissue to reconstruct mandibular defects. This flap is particularly valuable in head and neck oncology for restoring both form and function after tumor resection. The fibula provides adequate bone stock for dental implant placement and maintains facial contour. The procedure requires microsurgical expertise and careful preoperative planning including vascular imaging.

Usage

Usage note: Specify whether skin paddle is included when documenting fibula free flap reconstruction.

In Context

  • "Mandibular reconstruction with fibula free flap restored both function and facial aesthetics." — Surgical summary
  • "Preoperative angiography confirmed adequate peroneal vessel anatomy for fibula free flap harvest." — Preoperative planning note

Also known as

fibular free flap vascularized fibula graft

Contrasted with

non-vascularized bone graft alloplastic reconstruction

Don't confuse with

radial forearm flap iliac crest flap

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