Reconstruction of the zygoma, temporo-mandibular joint and mandible using a compound pectoralis major osteo-muscular flap.
A method of reconstruction of the zygoma, temporo-mandibular joint and hemi-mandible utilising a segment of the outer table of the sternum, sterno-costal joint and rib vascularised by an ipsilateral pectoralis major muscle flap is described. The mobility of an isolated sterno-coastal joint is compared with movements of the temporo-mandibular joint.
D000293:Adolescent; D016025:Bone Transplantation; D005354:Fibrosarcoma / Q000601:surgery; D006801:Humans; D007573:Jaw Neoplasms / Q000601:surgery; D008297:Male; D008334:Mandible / Q000601:surgery*; D012272:Ribs; D013249:Sternum; D013518:Surgery, Plastic; D013524:Surgical Flaps; D013704:Temporomandibular Joint / Q000601:surgery*; D015050:Zygoma / Q000601:surgery*