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f682aff184 They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. Preservation of the peroneal nerve is important to avoid complications. Wax MK. The temporomandibular joint may be reconstructed with a suture to anchor the sculpted fibula to the joint disc. The fibula free flap is well suited for anterior mandibular arch defects. Loss of tissue resulting from cancer ablation or debridement of infected tissues or secondary to trauma provides the reconstructive surgeon with various challenges. (See the first image below.) Defects of the head and neck may involve one or a number of tissues, including skin, cartilage, fascia, and bone. Cross section of the lower leg distal to neck of fibula. The fibula free flap is well suited for anterior mandibular arch defects. Drug images are also included. Choose from our complete list of over 1800 insurance plans across all 50 US states.
A small cuff of muscle - a millimeter or less - is left attached to the fibular bone as the surgeon proceeds medially from the anterior approach. Retry We were able to sign you in, but your subscription(s) could not be found. One drawback is the relatively short pedicle length. The anterior flap is elevated just above the muscle and deep to the muscular fascia. The peroneal artery hugs the fibula deep to its surface and posterior to the interosseus membrane. Unlike several other free flaps used for head and neck reconstruction, the fibula flap can be harvested simultaneously with the extirpation of the tumor by a second surgical team. [Medline]. Anatomy . Harvesting a cuff of soleus muscle may help to preserve these muscular perforators. Plus, search the MEDLINE database for journal articles.