Restoration of the mandible by full-thickness calvarial bone flap.
Two patients with reconstruction of a massive mandibular defect with vascularized full-thickness calvarial bone flaps are reported. In Patient 1, the mandibular body developed osteomyelitis and once was replaced with a metallic prosthesis. The prosthesis later perforated the skin and was removed. Full-thickness calvarial bone flaps were elevated bilaterally to reconstruct the mandibular body. In Patient 2, the mandible was totally destroyed by invasion of squamous cell carcinoma. The lower one-half of the face was resected and replaced with a large island scalp flap with full-thickness calvarial bone.
Kamiji
T
T
Department of Dermatology, Osaka University, School of Medicine, Japan.
Fujikawa
M
M
Honda
T
T
Higasa
H
H
Sekiguchi
J
J
Ohmori
K
K
D000328:Adult; D016025:Bone Transplantation; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D019736:Prostheses and Implants; D012886:Skull; D013524:Surgical Flaps; D013997:Time Factors