title: Reconstruction of a Combined Maxillectomy and Segmental Mandibulectomy Defect in a Seven-Year-Old with a Single Free Fibula Osteocutaneous Flap.
abstract: Combined upper alveolectomy and segmental mandibulectomy are complex defects. Reconstruction of these defects is usually suboptimal. We describe the case of a pediatric patient with vessel-depleted neck with recurrent vascular malformation involving the ramus and coronoid process of mandible and a previous history of maxillectomy and a reconstruction with anterolateral thigh flap. The patient underwent wide resection. The defects involving the upper alveolus and mandible were simultaneously reconstructed with a single free fibula flap.
authors.affiliation: Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
authors.forename: Shawn T
authors.initials: ST
authors.lastname: Joseph
authors.affiliation: Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
authors.forename: Krishnakumar
authors.initials: K
authors.lastname: Thankappan
authors.affiliation: Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
authors.forename: Subramania
authors.initials: S
authors.lastname: Iyer
keywords: combined maxilla and mandible defect; fibula flap; mandibular reconstruction; maxillary reconstruction; pediatric patient