Oromandibular Reconstruction: The History, Operative Options and Strategies, and Our Experience

Table 1

Characteristics of different osteocutaneous flaps.

Characteristics	Fibula	Scapula	Iliac crest	Radius
Reliability of skin paddle	+++; Perforator flap, thin but hairy	+++; Perforator flap, superior color match	+++; Perforator flap, too bulky	++++; Perforator flap, thin and flexible
Bone quality	+++; Bicortical bone, 20 cm	++; Unicortical bone, 14–17 cm	+++; Unicortical bone, 12 cm	++; Unicortical bone, 14 cm
Osseointegration of dental implants	+++	++	+++	+
Pedicle length	+++; 12–15 cm	++; 4–6 cm	++; 4–7 cm	++++; 20 cm
Sensory innervation	++++; Lateral sural cutaneous nerve	+; None	++; Lateral branch of the last thoracic nerve	++++; Anterior antebrachial cutaneous nerve
Donor site complication	++; Ankle instability, stiffness	++	++; Hernia, pain	++; Radial fracture
Two teams work	Yes	No	Yes	No

Best: ++++, worst: +.