"Axial split osteotomy" of free fibular flaps for mandible reconstruction:Preliminary results

Vascularized free flaps are now considered the most appropriate choice for mandible reconstruction because they offer excellent cosmetic and functiona l results. Various techniques have been proposed. Free fibular flaps have n umerous advantages in terms of versatility and contouring. Shaping can be a chieved by wedge osteotomy with excellent results. However, this technique leads to bone loss and may be difficult in the later stages of the procedur e. The purpose of this report is to describe a simple and safe flap-shaping method involving axial split osteotomy.