[Donor side selection in mandibular reconstruction using the free fibular osteocutaneous flap].

Objective: To form algorithm to select the correct donor side in mandibular reconstruction using free fibular flap.

Methods: Six hundred and two consecutive cases of mandibular reconstruction using free fibular flap from May of 1999 to April of 2007 were reviewed.

Results: There were 424 cases in type I, 71 cases in type II, 63 cases in type III, and 44 cases in type IV. Eighteen flaps experienced vessel thrombosis after operation. The overall successful rate of free fibula flap was 98.3%.

Conclusions: Close attention to both the geometric locations of vascular pedicles and skin paddles facilitates correct selection of fibula donor side.