Assisted selection of fibula flap donor side

[mauigna06]

Algorithm: Above diagram comes from this paper

I would need comments from some surgeon to:

1. Assess if the above information is valid
2. Help me convert this anatomical description in a coded feature of BoneReconstructionPlanner (maybe provide 4 different pictures that cover all possible cases using BRP)

[SteveMaisi]

Another 2 factors to consider

1. Anastomosis site left or right- in large mandibular defect eg ramus to ramus
2. Orientation of fibula - the anterior aspect of fibula should face the occlusal plane (not always necessary)

[mauigna06]

@SteveMaisi thanks! If other surgeons give their opinion we may arrive to a consensus in what's best to do and then I can implement it in code

[mauigna06]

Another surgeon told me:

• anastomosis in ipsilateral neck with anterior pedicle uses ipsilateral fibula
• anastomosis in ipsilateral neck with posterior pedicle uses contralateral fibula
• anastomosis in contralateral neck uses ipsilateral fibula

[paolocariati1]

This is a very useful post. The selection about which fibula should be used and the side of the anastomosis are essential for mandibula reconstruction with fibula. This post perfectly explain the concept