Mandible reconstruction following resection of gingival squamous cell carcinoma with peroneal artery perforator based fibular osteocutaneous free flap

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This is an unedited manuscript accepted for publication and provided as an Article in Press for early access at the author’s request. The article will undergo copyediting, typesetting, and galley proof review before final publication. Please be aware that errors may be identified during production that could affect the content. All legal disclaimers of the journal apply.

Year : 2025 | Volume : 16 | Issue : 02 | Page : –
    By

    Sang Bong Ri,

  • Song Hyon Kim,

  • Jun Song Ryu,

  • Hyon Il So,

  • Chang Gol Rim,

  1. Researcher, Department of Plastic Surgery, Pyongyang General Hospital, DPR, Korea
  2. Researcher, Department of Maxillofacial Surgery, Pyongyang General Hospital, DPR, Korea
  3. Researcher, Department of Maxillofacial Surgery, Pyongyang General Hospital, DPR, Korea
  4. Researcher, Department of Maxillofacial Surgery, Pyongyang General Hospital, DPR, Korea
  5. Researcher, Department of Maxillofacial Surgery, Pyongyang General Hospital, DPR, Korea

Abstract

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Reconstructing soft tissue defect resulting from resection of malignant tumor in face is crucial in esthetic and functional point of view. To address this condition, various surgical flaps are used, including the free vascularized osteocutaneous flap. In this particular case, we used a free fibular osteocutaneous flap to reconstruct both the bone (osseous) and soft tissue (mucosal) defects. These defects were caused by the removal (resection) of a lesion in a patient diagnosed with gingival squamous cell carcinoma that had spread to the mandible (lower jaw) and cervical lymph nodes. The fibular flap, taken from the leg, includes bone, skin, and blood vessels, making it ideal for reconstructing complex areas where both bone and soft tissue need to be replaced. This type of flap provides good structural support and healing, restoring function and appearance after extensive tumor removal. Using microvascular surgery, the flap’s blood supply is reconnected to vessels in the neck, ensuring the survival of the transplanted tissue and helping the patient recover both aesthetically and functionally.

Keywords: Gingival Carcinoma, Peroneal Artery Perforator, Osteocutaneous Flap, Mandibular reconstruction, Lesion resection.

[This article belongs to Research and Reviews: A Journal of Dentistry ]

How to cite this article:
Sang Bong Ri, Song Hyon Kim, Jun Song Ryu, Hyon Il So, Chang Gol Rim. Mandible reconstruction following resection of gingival squamous cell carcinoma with peroneal artery perforator based fibular osteocutaneous free flap. Research and Reviews: A Journal of Dentistry. 2025; 16(02):-.
How to cite this URL:
Sang Bong Ri, Song Hyon Kim, Jun Song Ryu, Hyon Il So, Chang Gol Rim. Mandible reconstruction following resection of gingival squamous cell carcinoma with peroneal artery perforator based fibular osteocutaneous free flap. Research and Reviews: A Journal of Dentistry. 2025; 16(02):-. Available from: https://journals.stmjournals.com/rrjod/article=2025/view=0



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Regular Issue Subscription Case Report
Volume 16
Issue 02
Received 08/01/2025
Accepted 04/04/2025
Published 05/05/2025
Publication Time 117 Days
120

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