Simultaneous reconstruction of large maxillary and mandibular defects with a fibular osteocutaneous flap combined with an anterolateral thigh flap.
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.
Ozkan
Omer
O
Department of Plastic and Reconstructive Surgery, Akdeniz University School of Medicine, Antalya, Turkey. omozkan@hotmail.com
Ozgentas
H Ege
HE
Dikici
M Bahadir
MB
D016025:Bone Transplantation; D005151:Facial Injuries / Q000601:surgery*; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008338:Mandibular Injuries / Q000601:surgery*; D008437:Maxilla / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery; D013406:Suicide, Attempted; D013524:Surgical Flaps; D014948:Wounds, Gunshot / Q000601:surgery*