Total mandibular reconstruction using four free flap transfers in a patient with large mandibular osteosarcoma

Mandibular reconstructions with composite defects are complex procedures that aim to achieve soft tissue closure, bony support and to restore facial contours. When large defects are present, multiple flaps may be required for optimal aesthetic and functional outcomes. Facial reconstruction using mul...

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Bibliographic Details
Published in:European journal of plastic surgery 2014-10, Vol.37 (10), p.563-566
Main Authors: Grinsell, Damien, Yue, Brian Yin Ting, Ferris, Scott I.
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Plastic Surgery
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Summary:Mandibular reconstructions with composite defects are complex procedures that aim to achieve soft tissue closure, bony support and to restore facial contours. When large defects are present, multiple flaps may be required for optimal aesthetic and functional outcomes. Facial reconstruction using multiple flaps has been described. In 1993, Sanger et al. reported the use of three free flaps in a patient with osteoradionecrosis of the mandible. However, the feasibility of using more than three free flaps in a mandibular reconstruction remained to be determined. In this report, we describe the use of bilateral deep circumflex iliac artery (DCIA) iliac crest flaps and two radial forearm free flaps for the mandibular reconstruction in a 19-year-old male with radical excision of mandibular osteosarcoma and total mandibulectomy. Level of Evidence: Level V, therapeutic study.
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-014-0990-0