Introduction: Defects in the mandible or maxilla are usually obtained from broad resections of advanced oral cancer, benign tumors of aggressive clinical course, or accidents. These defects require the replacement of tissue lost by similar characteristics tissue preserving the quality of life of patients through rehabilitation of function and esthetics. This flap provides a greater volume of bone tissue grafts from all bone and generates little morbidity in the donor site is capable of undergoing multiple osteotomies by modeling. This flap provides the greatest amount of bone tissue between all bone grafts; causes little morbidity in the donor area, lending itself also to modeling by osteotomies, allowing its adaptation to any defect.
Materials and methods: A retrospective study evaluating the medical records from 1995 to 2014 the medical records of nine patients undergoing reconstructive treatment with flap fibular.
Discussion: The reconstruction with microsurgical flap fibular technique used can progress to a partial or total loss of the flap, as well as an esthetic and functional sequel in the recipient area and donor, which varies with the flap selected, this study had no failure of clinical cases.
Results: Complications were minimal, there were four (33%) of patients.
Conclusion: Complications were of minimal complexity and resolved. There was no flap fibula rejection in any case. This shows that the protocol and the results obtained by the team in reconstructive surgery with osteomyocutaneous fibular graft are within the biological and protocol standards of service.
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