Table 8 Fibula osteocutaneous flap
From: Complex reconstructions in head and neck cancer surgery: decision making
Flap size | Pedicle length | Pedicle diameter | Donor site morbidity | Patient's position | Special considerations |
|---|---|---|---|---|---|
Skin: -Length: 12 cm (10-32 cm) -Width: 6 cm (4-14 cm) Muscle: (lateral hemi-soleus): -Length: 16 cm (18-30 cm) -Width: 8 cm (6-15 cm) Bone: -Length: 16 cm (6-26 cm) -Thickness: 2 cm (1-3 cm) | - Up to 10 cm, depending on bone length and location of donor site (proximal or distal) | -1,5 mm (1-2,5 mm) | -Cosmetic deformity -Limitations and discomfort in ankle function -Peroneal nerve palsy | -Supine position, knee flexed 90°, pelvic girdle internally rotated -Prone position | -Preoperative vascular study could be useful (angiogram) |