Microvascular Orofacial Reconstruction: Free Fibula Flap/ Scapula Flap - Softcover

Mittal, Anshika; Haranal, Shashidevi; Bhutani, Himanshu

Softcover

ISBN 10: 6209731120 ISBN 13: 9786209731129

Publisher: LAP Lambert Academic Publishing, 2026

Synopsis

Reconstruction of extensive orofacial defects pertaining to oncologic resection, trauma, or large cystic lesions, remains a major challenge in Oral and Maxillofacial Surgery. Microvascular free tissue transfer has emerged as the gold standard for restoring orofacial continuity, function, and facial aesthetics.Fibular free flap (FFF), Subscapular system free flaps (including lateral scapular border flaps [LSBFs] and Scapular tip free flaps [STFFs]), iliac crest free flap (ICFF), and radial forearm osseous free flap (ROFF) are amongst the contemporary choices for reconstruction. Anatomic reliability and presence of sufficient vascularized bone, project fibula as an unrivaled flap. Abundant bone stock, least donor site morbidity favour Scapula as a osseocutaneous flap. Although each has their specific merits & demerits, prognostic demarcation of application is crucial. The aim of this study is to compare the outcomes of Oro-facial reconstruction using microvascular free fibula flaps and scapula flaps including assessment of postoperative complications, donor-site morbidity, management of complications, requirement for secondary procedures, and overall graft longevity.

Edition details

• Publisher: LAP Lambert Academic Publishing
• Publication date: 2026
• Language: English
• ISBN 10: 6209731120
• ISBN 13: 9786209731129
• Binding: Paperback
• Number of pages: 60