ArticlePlastic and reconstructive surgery. Global open2026
Mandible and Temporomandibular Joint Reconstruction with Flow-through Fibula and Lateral Femoral Condyle Flaps: A Case Series.
Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Simultaneous anatomical reconstruction of mandible and temporomandibular joint (TMJ) defects following tumor resection poses a significant challenge in achieving good healing and long-lasting functional outcomes. The authors propose a novel autologous technique using a flow-through fibula and lateral femoral condyle osteochondral flap for simultaneous mandible and TMJ reconstruction. Both flaps were harvested from the same donor leg and joined via on-table osteosynthesis and a flow-through microvascular anastomosis. Preoperative virtual planning and patient-specific cutting guides were used to optimize accuracy. This technique was applied to 4 patients with mandible tumors who underwent resection of the mandible body, ramus, condyle, and adjacent soft tissue. All patients recovered well, with functional mouth opening exceeding 3 cm and no signs of ankylosis during follow-ups. This alternative "like-for-like" autologous reconstruction method is a novel technique for large mandible and TMJ defect reconstructions, offering a durable and effective solution that enhances patient outcomes.
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