Simultaneous reconstruction of large maxillary and mandibular defects with a fibular osteocutaneous flap combined with an anterolateral thigh flap

ÖZKAN Ö., Ozgentas H., Dikici M.

JOURNAL OF RECONSTRUCTIVE MICROSURGERY, cilt.20, sa.6, ss.451-455, 2004 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 6
  • Basım Tarihi: 2004
  • Doi Numarası: 10.1055/s-2004-833502
  • Dergi Adı: JOURNAL OF RECONSTRUCTIVE MICROSURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.451-455
  • Anahtar Kelimeler: fibula flap, anterolateral thigh flap, maxilla, mandible, simultaneous reconstruction, RADIAL FOREARM FLAP, OSTEOSEPTOCUTANEOUS FLAP
  • Akdeniz Üniversitesi Adresli: Evet

Özet

This article reports the simultaneous reconstruction of maxillary and mandibular defects caused by a close-range gunshot blast to the face with one fibular osteocutaneous flap combined with an anteroateral fasciocutaneous flap. A fibular osteocutaneous flap was used for both mandibular and maxillary defects, using multiple osteotomies and discarding a central bony segment and an oral floor defect. An anterolateral thigh flap was used to cover a three-dimensional defect of both the intraoral mucosal region, as well as external skin and soft tissue defects, including some on the upper and lower lips. The results demonstrated that the method was a good choice in the reconstruction of large composite facial defects, both aesthetically and functionally.