Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction

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dc.contributor.authorvan Zyl, Ottie
dc.contributor.authorFagan, Johan
dc.date.accessioned2026-07-27T12:02:33Z
dc.date.available2026-07-27T12:02:33Z
dc.date.issued2025-10-31
dc.description.abstractThe vascularised free fibular flap (FFF) is the most used flap in head and neck for bony reconstruction. It is a vascularised free composite flap containing bone and muscle, with or without skin and provides reliable single-stage reconstruction with excellent functional and aesthetic results. Other vascularised bone flaps used in the head and neck include iliac crest, scapula and radial forearm flaps. Microvascular free tissue transfer allows one to transfer well-vascularised, bone-containing flaps for oromandibular and midface reconstruction. Compared to bone grafts or metal plates, well-vascularised bone is associated with a major reduction of surgical complications and has had an enormous impact on the success of such reconstructions. Vascularised flaps with-stand irradiation much better than bone grafts or plates, and when reconstructing within a previous irradiated field, has the benefit of importing tissue with a new blood supply.
dc.identifier.apacitationvan Zyl, O., & Fagan, J. (2025). Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. Retrieved from http://hdl.handle.net/11427/43677en_ZA
dc.identifier.chicagocitationvan Zyl, Ottie, and Johan Fagan. (2025). "Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction." Lecture presented at ,Faculty of Health Sciences ,Division of Otorhinolaryngology. http://hdl.handle.net/11427/43677en_ZA
dc.identifier.citationvan Zyl, O. & Fagan, J. 2025. <i>Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction</i> [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology. http://hdl.handle.net/11427/43677en_ZA
dc.identifier.ris TY - Open Education Resource AU - van Zyl, Ottie AU - Fagan, Johan AB - The vascularised free fibular flap (FFF) is the most used flap in head and neck for bony reconstruction. It is a vascularised free composite flap containing bone and muscle, with or without skin and provides reliable single-stage reconstruction with excellent functional and aesthetic results. Other vascularised bone flaps used in the head and neck include iliac crest, scapula and radial forearm flaps. Microvascular free tissue transfer allows one to transfer well-vascularised, bone-containing flaps for oromandibular and midface reconstruction. Compared to bone grafts or metal plates, well-vascularised bone is associated with a major reduction of surgical complications and has had an enormous impact on the success of such reconstructions. Vascularised flaps with-stand irradiation much better than bone grafts or plates, and when reconstructing within a previous irradiated field, has the benefit of importing tissue with a new blood supply. DA - 2025-10-31 DB - OpenUCT DP - University of Cape Town KW - Free Fibula Flap KW - Microvascular Transfer KW - FFF KW - Head and Neck Reconstruction LK - https://open.uct.ac.za PY - 2025 T1 - Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction TI - Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction UR - http://hdl.handle.net/11427/43677 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/43677
dc.identifier.vancouvercitationvan Zyl O, Fagan J. Vacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction [OER]. ,Faculty of Health Sciences ,Division of Otorhinolaryngology, Division of Otorhinolaryngology; provided on lecture given 2026-07-27T12:02:33Z [cited yyyy month dd]. Available from http://hdl.handle.net/11427/43677en_ZA
dc.language.isoen
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectFree Fibula Flap
dc.subjectMicrovascular Transfer
dc.subjectFFF
dc.subjectHead and Neck Reconstruction
dc.titleVacularised Free Fibular Flaps (FFF) in Head and Neck Reconstruction
dc.typeOpen Education Resource
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