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What is FFF surgery?

Published in Reconstructive Surgery 3 mins read

FFF surgery refers to a fibula free flap procedure, a type of reconstructive surgery.

Understanding Fibula Free Flap (FFF) Surgery

The fibula free flap procedure is a crucial surgical technique for restoring missing bone and soft tissues in the body. It is commonly used in various reconstructive procedures, with the following key aspects:

What is a Fibula Free Flap?

  • A fibula free flap involves taking a segment of the fibula bone (the smaller bone in your lower leg) along with its associated blood vessels, soft tissue, and sometimes the overlying skin.
  • This removed tissue is then transferred to another part of the body requiring reconstruction.

Common Applications of FFF Surgery

  • Mandibular Reconstruction: Replacing parts of the jawbone lost due to trauma, cancer, or congenital defects.
  • Maxillofacial Reconstruction: Rebuilding areas of the face and skull following accidents, tumor removal or birth defects.

Procedure Overview

  1. Harvesting the Flap: A section of the fibula is carefully removed from the leg along with its blood supply.
  2. Transferring the Flap: The harvested fibula section is then moved to the recipient site, such as the jaw or face.
  3. Revascularization: The blood vessels of the fibula flap are connected to the blood vessels at the recipient site using microsurgical techniques. This re-establishes the blood flow, ensuring that the grafted tissue remains viable.
  4. Reconstruction: The fibula bone is shaped and positioned as needed to reconstruct the missing bone structure.
  5. Soft Tissue Closure: The skin and soft tissue associated with the flap is used to cover the area, completing the reconstruction.

Benefits of Using Fibula Free Flap

  • Bone Availability: The fibula provides a good amount of bone material suitable for reconstruction.
  • Length & Shape: It can be tailored to the specific reconstructive needs, offering flexibility in length and shape.
  • Good Blood Supply: The robust blood vessels associated with the fibula contribute to the high success rate of the flap.
  • Versatile Application: The fibula free flap can be used for both bone and soft tissue defects.

Why is FFF Surgery Necessary?

  • Trauma: To repair damage to bones and tissues caused by accidents.
  • Cancer: To reconstruct areas after the removal of cancerous tumors.
  • Congenital Deformities: To correct abnormalities that are present at birth.

Reference:

  • A fibula free flap is a procedure commonly used in reconstructive surgery to replace missing bone and soft tissue, often in mandibular or maxillofacial reconstruction following trauma, cancer resection, or congenital deformities.22-Mar-2024

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