NUMERO: #20240790

Título: Fibula free flap: from indication to rehabilitation

Nome do Apresentador: João Victor Dos Santos SEVERINO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: Currently, the free fibula flap is considered the gold standard in mandibular reconstructions following extensive resections for the treatment of various neoplasms. The planning and management of rehabilitation for these cases is challenging, requiring different types of approaches. Therefore, the objective of this case is to describe the rehabilitative treatment following mandibular resection. A 17-year-old woman, previously diagnosed and treated for a high-grade osteoblastic osteosarcoma through mandibular resection and adjuvant chemotherapy, underwent microvascularized reconstruction with a fibula flap. In addition to the fibula graft, the patients rehabilitation required other adjunctive surgical and non-surgical procedures, including removal of the internal fixation system, flap thinning, vestibuloplasty, free gingival grafting, implant installation, and prosthetic rehabilitation, to restore function and aesthetics. The patient has been followed up for 1 year after the completion of rehabilitation with prostheses on implants and has had no signs of recurrence of the lesion for 4 years.

Autor 1:  João Victor Dos Santos SEVERINO

E-mail 1:  [email protected]

Autor 2:   Juli Emily Costa GUIMARÃES

E-mail 2:  [email protected]

Autor 3 :  Italo Oliveira BARBOSA

E-mail 3:  [email protected]

Autor 4:  Roger NISHYAMA

E-mail 4:  [email protected]

Autor 5:  Patricia Verónica Aulestia VIERA

E-mail 5:  [email protected]

Autor 7:  André Caroli ROCHA

E-mail 7:  [email protected]