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Date Published: 27/06/2023
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DOI: https://doi.org/10.51298/vmj.v527i1B.5819
Issue
Vol. 527 No. 1B (2023)
Section
Các bài báo
How to Cite
Lại, B. N., Nguyễn, Q. R., & Lê, N. T. (2023). CLOSURE OF A FREE OSTEOCUTANEOUS FIBULA FLAP DONOR SITE USING LOCAL FULL-THICKNESS SKIN GRAFTS: A REPORT OF 110 CASES. Vietnam Medical Journal, 527(1B). https://doi.org/10.51298/vmj.v527i1B.5819

CLOSURE OF A FREE OSTEOCUTANEOUS FIBULA FLAP DONOR SITE USING LOCAL FULL-THICKNESS SKIN GRAFTS: A REPORT OF 110 CASES

Bình Nguyên Lại1, Quang Rực Nguyễn1,, Ngọc Tuyến Lê1
1 Hanoi Central Odonto-Stomatology Hospital

Main Article Content

Abstract

Backgrounds: The fibular flap donor site after a large skin paddle harvest is usually covered with skin grafts or local flaps. The aim of this report was to present our result after a long time applying local full-thickness skin graft for closure of fibular flap donor site. Patients and methods: This study was conduted on 110 patients who had maxillofacial defect reconstruction with free fibular osteocutaneous flaps and the fibular donor-site defects were covered with full-thickness skin grafts from the adjacent area. The age of patients ranged from 19 to 84 years old. The skin harvesting sites were closed primarily. The viality of skin grafts were assessed on the 7th postoperative day. Results: Most of patients were suffered from squamous cell carcinoma of the oral cavity (about 80%). The skin donor sites were primarily closed without dehiscence in all cases. Ninety (81.8%) full-thickness skin grafts survived completely, whereas 18 grafts (16.4%) were partial failures and 2 grafts (1.8%) were complete losses. Most of fibular osteocutaneous flaps (97.27%) were well-perfused. Conclusion: This study shows that local full-thickness skin grafts provide a simple and reliable technique for closure of the free fibular osteocutaneous flap donor site. The primary advantage of this technique is the avoidance of a third surgical site.

Article Details

Keywords

osteocutaneous fibula flap, local full-thickness skin graft

References

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