Yu-Chi Huang and Chau-Peng Leong contributed equally to this article.
Functional assessment of donor-site morbidity after harvest of a fibula chimeric flap with a sheet of soleus muscle for mandibular composite defect reconstruction
Article first published online: 24 NOV 2011
Copyright © 2011 Wiley Periodicals, Inc.
Volume 32, Issue 1, pages 20–25, January 2012
How to Cite
Huang, Y.-c., Leong, C.-p., Pong, Y.-p., Liu, T.-y. and Kuo, Y.-r. (2012), Functional assessment of donor-site morbidity after harvest of a fibula chimeric flap with a sheet of soleus muscle for mandibular composite defect reconstruction. Microsurgery, 32: 20–25. doi: 10.1002/micr.20955
- Issue published online: 18 JAN 2012
- Article first published online: 24 NOV 2011
- Manuscript Accepted: 11 AUG 2011
- Manuscript Revised: 9 AUG 2011
- Manuscript Received: 1 JUN 2011
- The Chang Gung Medical Research Fund. Grant Numbers: CMRPG880041, CMRPG880042
This study aims to compare donor-site morbidity between the traditional fibula osteocutaneous and chimeric fibula flaps for mandibular reconstruction. Twenty-three patients with head and neck cancer were recruited. Fifteen patients underwent the traditional fibula osteocutaneous flap. Eight patients received a chimeric fibula osteocutaneous flap with a sheet of soleus muscle. Subjective donor-site morbidities were evaluated by questionnaire. Objective isokinetic testing and 6-minute walking test (6MWT) were used to evaluate ankle strength and walking ability. The results revealed no significant difference was found in total average score of the questionnaire between the traditional (2.57) and the chimeric (2.75) groups (P > 0.05). There were no significant differences in peak torque/total work of ankle motions and in walking ability at 6MWT between the traditional and chimeric groups (P > 0.05). In conclusion, compared with the traditional fibula osteocutaneous flap, the chimeric fibula flap does not increase donor-site morbidity for reconstructive surgery. © 2011 Wiley Periodicals, Inc. Microsurgery, 2012.