Tereshchuk Sergey Vasilievich (Ph.D., Associate Professor, Head of the Center for Maxillofacial Surgery and Dentistry, Federal State Budgetary Institution “N.N. Burdenko State Military Clinical Hospital” of the Ministry of Defense of the Russian Federation)
Demin Dmitry Aleksandrovich (Maxillofacial surgeon, State Budgetary Institution of the Ryazan Region “Regional Clinical Hospital”, Assistant of the Department of Surgical Dentistry and Maxillofacial Surgery with the Course of ENT Diseases, Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University named after Academician I.P. Pavlova» of the Ministry of Health of the Russian Federation)
Khudaynazarov Babadzhan Allakulyevich (Maxillofacial surgeon
State Budgetary Institution of the Ryazan Region «Regional Clinical Hospital»
)
Tiselskaya Anastasia Dmitrievna (Federal State Budgetary Educational Institution of Higher Education «Ryazan State Medical University named after Academician I.P. Pavlov» of the Ministry of Health of the Russian Federation)
Proposhin Igor Igorevich (Federal State Budgetary Educational Institution of Higher Education “Ryazan State Medical University named after Academician I.P. Pavlov” of the Ministry of Health of the Russian Federation)
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Currently, there are many techniques for filling defects of both osseous and soft tissues. With the development of microsurgery, the use of revascularized autografts has become possible. These flaps are reliable due to the abundant network of anastomoses. Thanks to this advantage, it becomes possible to perform flap modeling in various variations. As a result, the possibilities of their application are expanding.
The fibular vascularized flap, which is used as a donor for replacing defects of the lower jaw, has this quality. Due to the convenience of harvesting, the required caliber and length of the vessels, strength and reliability, and almost complete restoration of the functionality and aesthetics of the lower part of the face, this flap is the “gold standard” for replacing defects of the lower jaw.
This article highlights the features of the technique of performing a fibular flap, its various modifications and engraftment.
Keywords:Mandible, fibula, fibular flap, autograft, free vascularized flap.
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Citation link:
Tereshchuk S. V., Demin D. A., Khudaynazarov B. A., Tiselskaya A. D., Proposhin I. I. USE OF FIBULAR FLAP IN REPLACING MANDIBULAR DEFECTS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№11/2. -С. 217-222 DOI 10.37882/2223-2966.2024.11-2.31 |
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