One-and-a-half-barrel vascularized free fibular flap for the reconstruction of segmental mandibular defect

J Craniofac Surg. 2013 Mar;24(2):e167-9. doi: 10.1097/SCS.0b013e31827c840f.


We designed one-and-a-half-barrel vascularized free fibular flap which is a further modification of the double-barrel technique, and we tried to overcome the discrepancy between mandible and fibula flap. We used this flap in case of a segmental mandibular defect that occurred as a result of a giant cell reparative granuloma excision. This new modification eliminated volume insufficiency of the classical technique and volume excess of the double-barrel technique.A segmental mandibular defect that occurred as a result of giant cell reparative granuloma excision was reconstructed using one-and-a-half-barrel vascularized free fibular flap. The size discrepancy between mandible and free fibula flap is a well-known problem, and this new modification of free fibular flap eliminated volume insufficiency or excess problems of the other techniques.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Fibula / transplantation*
  • Free Tissue Flaps / blood supply*
  • Granuloma, Giant Cell / diagnostic imaging
  • Granuloma, Giant Cell / surgery*
  • Humans
  • Male
  • Mandibular Diseases / diagnostic imaging
  • Mandibular Diseases / surgery*
  • Radiography
  • Reconstructive Surgical Procedures / methods*
  • Young Adult