Reconstruction of bony mandibular and maxillary defects with one single transfer of a free fibula osteocutaneous flap.
One-stage bone reconstruction of both the maxilla and the mandible with a single bone transfer is unusual in microsurgery. The authors report and describe the surgical technique of an original one-stage bone reconstruction of the maxilla and the mandible in a defect caused by a gunshot injury. The reconstruction was performed with a free fibular osteocutaneous flap. A concomitant maxillo-mandibular defect is uncommon. Gunshot injuries and tumours are the two main causes of this defect. The reconstruction of maxillary and mandibular defects can be a surgical challenge. The reconstruction was performed in one stage with the free transfer of a fibular osteocutaneous flap.
Laure
Boris
B
Department of Maxillofacial and Plastic Facial Surgery, Trousseau Hospital, University of Tours, 37044 Tours, Cedex, France. boris.laure@wanadoo.fr
Sury
Florent
F
Martin
Thomas
T
Chabut
Arnaud
A
Goga
Dominique
D
D000328:Adult; D016025:Bone Transplantation / Q000379:methods; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008338:Mandibular Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008437:Maxilla / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013406:Suicide, Attempted; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000601:surgery*