Table of Contents
What is free Osteocutaneous?
The free osteocutaneous fibula flap is an established method of reconstruction of maxillary and mandibular defects. The vascularity of the skeletal and the cutaneous components is provided by the peroneal artery via the nutrient artery and the septo- and musculocutaneous perforators.
What is a free flap in medical terms?
A type of surgery used to rebuild the shape of the breast after a mastectomy. A tissue flap, including blood vessels, skin, fat, and sometimes muscle, is removed from one area of the body, such as the back or abdomen.
What is a free fibula flap?
A fibular free flap is one way of filling a bony hole in either the upper or lower jaw. It is one of the common ways of replacing bone that has been removed for cancer treatment.
What is CPT code for free flap?
CPT code 19364 is not limited to a particular type of free flap, and it is the code to be used to report any type of free flap breast reconstruction.
Can you run without a fibula?
The fibula is a long, thin bone of the outer leg alongside the shinbone. It is sometimes used to harvest bone that can be used in certain reconstructive surgeries of bone. The fibula can be removed without impacting the individual’s ability to walk or bear weight.
When do you use a free flap?
A free flap may be recommended if you require major reconstruction following surgery, trauma, removal of cancer, or correction of congenital deformities. In the face, head, and neck, free flaps are most commonly used to restore form and function following major cancer surgery that required removal of vital structures.
Can the fibula grow back?
Fibula regenerate in a 7-year-old boy 2 months after fibula resection (10 cm) used for autogenous bone transplantation. Hypertrophic bone formation can be seen at the distal regeneration side with initial signs of early gap fusion.
Why is the fibula important?
Its main function is to combine with the tibia and provide stability to the ankle joint. The distal end of the fibula has several grooves for ligament attachments which then stabilize and provide leverage during the ankle movements.
How does a free flap work?
“Free flap,” also known as “free tissue transfer,” is a term for a procedure in which tissue and its blood supply (artery and vein) are surgically removed from one part of the body and transferred to another area of the body for the purpose of reconstruction.
What is free flap oral surgery?
What is a chimeric flap?
As defined by Hallock (Plast Recon Surg 117:151e, 2006), a chimeric flap “consists of multiple otherwise independent flaps that each have an independent vascular supply, with all pedicles linked to a common source vessel”.
What is groin flap?
The groin flap is a vascularized axial flap based on the superficial circumflex iliac artery arising from the femoral artery just below the inguinal ligament. It is used regularly by many reconstructive surgeons for covering soft tissue defects of the hand.