Semin Plast Surg 1998; 11(2): 79-89
DOI: 10.1055/s-2008-1080253
Focus on Technique

© 1998 by Thieme Medical Publishers, Inc.

Fibular Osteoseptocutaneous Free Graft- A Unique Flap for Mandible Reconstruction

Fu-Chan Wei, Eric Santamaria
  • F-CW, Professor and Chairman, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital and Medical College, Chang Gung University, Taipei, Taiwan, R.O.C.
  • ES, Clinical Fellow, Microsurgery and Upper Extremity Reconstruction, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Further Information

Publication History

Publication Date:
19 June 2008 (online)


The anatomic features of the fibular osteoseptocutaneous free flap make it a unique composite vascularized bone graft for mandibular reconstruction. Compared to other donor sites available, it is more versatile and reliable. In the last 8 years we have used this free flap consecutively in 160 cases for reconstruction of various mandibular defects under different circumstances. Familiarization with this procedure has allowed us to maximize the indications for using the fibula and to achieve good esthetic and functional results consistently.

In this paper we emphasize the multiple advantages of this surgical technique and offer a summary of our experience with this procedure.