Reconstruction of lower third of face with three simultaneous free flaps. Plast Reconstr Surg 1994 Oct;94(5):709-13
Date
10/01/1994Pubmed ID
7938297DOI
10.1097/00006534-199410000-00023Scopus ID
2-s2.0-0028112965 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
A case of massive osteoradionecrosis is presented that required angle-to-angle resection of the mandible and replacement of skin of the chin and neck as well as the entire floor of the mouth. In this heavily irradiated patient, three microvascular free flaps were transferred in one operation. A large radial forearm flap was used to reconstruct the floor of the mouth. A second large radial forearm flap was used to reconstruct the chin and neck defects and a fibular osseous flap was used to reconstruct the mandible. All wounds healed primarily. For extremely complicated and large defects, the transfer of multiple free flaps may provide the best reconstruction.
Author List
Sanger JR, Yousif NJ, Matloub HS, Larson DL, Sewall SSAuthors
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of WisconsinJames R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
FemaleHumans
Mandibular Diseases
Middle Aged
Mouth Floor
Mouth Neoplasms
Osteoradionecrosis
Surgery, Plastic
Surgical Flaps
Time Factors