Immediate reconstruction of a composite mandibular defect with a regional osteomusculocutaneous flap.
This is a report of an immediate reconstruction of a composite mandibular defect, using a pectoralis major osteomusculocutaneous flap incorporating a segment of the fifth rib. Viability of the transferred rib segment was established by tetracycline labeling at 2 weeks and technetium scanning at 3 months postoperatively. This clinical example supports the experimental observations of a vascular network interconnecting muscle, periosteum, and compact bone.
D016025:Bone Transplantation; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery*; D008856:Microscopy, Fluorescence; D008875:Middle Aged; D012272:Ribs / Q000637:transplantation; D013524:Surgical Flaps; D014182:Transplantation, Autologous