Pedicled mandibular osteomuscular flap for zygomatic reconstruction through a modified Weber-Ferguson incision.
The aim of this study was to evaluate the use of a pedicled mandibular osteomuscular flap for zygoma reconstruction through a modified Weber-Ferguson incision. The study included 3 male patients and 2 female patients with an average age of 46 years. Zygomatic ameloblastoma was present in 2 cases. Vascular malformation was present in 2 cases, and chondromyxoid fibroma was present in 1 case. In all 5 patients, surgery consisted of a wide excision of the lesions with margins of at least 5 mm to ensure complete removal. The defects that were created measured between 3 x 3 and 4 x 4 cm. Primary reconstruction of the zygoma was carried out by a pedicled mandibular osteomuscular flap. No flap failures occurred. Proper aesthetics and complete functionality were obtained, and there were no donor-site problems. The patients were followed up for 12 to 24 months, with an average period of 18.6 months, and recurrence was never encountered.
Chen
Wei-liang
WL
Department of Oral and Maxillofacial Surgery, the Second Affiliated Hospital of Sun Yat-sen University, Guangdong Provincial People's Hospital, 107 Yan-jiang Road, Guangzhou, Guangdong Province, China. drchen@vip.163.com
Chen
Zhong-wei
ZW
Yang
Zhao-hui
ZH
Huang
Zhi-Quan
ZQ
Li
Jing-song
JS
Zhang
Bin
B
Wang
Jian-guang
JG
D000328:Adult; D000564:Ameloblastoma / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D002804:Chondroblastoma / Q000601:surgery; D004954:Esthetics; D005145:Face / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012888:Skull Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013703:Temporal Muscle / Q000637:transplantation*; D054079:Vascular Malformations / Q000601:surgery*; D015050:Zygoma / Q000098:blood supply / Q000601:surgery*