TY - CHAP A1 - Shih-Heng Chen A2 - Hao-Chih Tai A3 - Tai-Ju Cheng A4 - Hung-Chi Chen A5 - An-Ta Ko A6 - Tyng-Luan Roan A7 - Yo-Shen Chen A8 - Yueh-Bih Tang ED1 - Sherif Amr Y1 - 2018-04-18 PY - 2018 T1 - Reconstruction for Mandibular Implant Failure N2 - The development of flap surgery parallels the increasing complexity of soft-tissue defects needing reconstruction. Random and pedicled flaps as well as free muscle and fasciocutaneous flaps have helped to reconstruct single soft-tissue defects. The multiplicity of defects needing reconstruction and donor-site morbidity in addition to tailored reconstruction have called for a revision of flap concepts in favor of perforator flaps. Unfortunately, we are faced with increasingly complex reconstructive issues. New reconstructive techniques, such as the Ilizarov method, have made orthopedic reconstruction after high energy and complex trauma possible. Revision surgeries after tumor resection and plastic surgery have brought about soft-tissue defects associated with extensive fibrosis and necrosis. As a result, previously nonsalvageable limbs have been salvaged. The reconstructive surgeons are faced with the following situations: multiple soft-tissue defects, extensive fibrosis, possibility of major vessel loss, and possibility of damage of several perforators. BT - Issues in Flap Surgery SP - Ch. 6 UR - https://doi.org/10.5772/intechopen.70166 DO - 10.5772/intechopen.70166 SN - 978-1-78923-013-0 PB - IntechOpen CY - Rijeka Y2 - 2021-05-12 ER -