Simultaneous maxillary and mandibular reconstruction with one free osteocutaneous flap.
The concept of immediate reconstruction of massive facial injury with rigid internal fixation and free-tissue transfer continues to evolve. This case is unique in that it is the first report of the following: (1) simultaneous combined maxillary and mandibular reconstruction with one vascularized bone graft and (2) immediate total maxillary reconstruction with vascularized fibular bone. The nasopharynx was closed with a tubed radial forearm flap. Reconstruction was staged over several days, with dissection/banking of flaps, grafts, recipient sites, and debridement as a preliminary stage.
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington.
R C
RC
Sadove
L A
LA
Powell
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008338:Mandibular Injuries / Q000601:surgery*; D008437:Maxilla / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*; D014948:Wounds, Gunshot / Q000601:surgery*