Abstract
Mandibular reconstructions with composite defects are complex procedures that aim to achieve soft tissue closure, bony support and to restore facial contours. When large defects are present, multiple flaps may be required for optimal aesthetic and functional outcomes. Facial reconstruction using multiple flaps has been described. In 1993, Sanger et al. reported the use of three free flaps in a patient with osteoradionecrosis of the mandible. However, the feasibility of using more than three free flaps in a mandibular reconstruction remained to be determined. In this report, we describe the use of bilateral deep circumflex iliac artery (DCIA) iliac crest flaps and two radial forearm free flaps for the mandibular reconstruction in a 19-year-old male with radical excision of mandibular osteosarcoma and total mandibulectomy.
Level of Evidence: Level V, therapeutic study.
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The patient in this study has given written consent for utilisation of his medical records, clinical photographs and radiography to be published for research and academic purposes.
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Grinsell, D., Yue, B.Y.T. & Ferris, S.I. Total mandibular reconstruction using four free flap transfers in a patient with large mandibular osteosarcoma. Eur J Plast Surg 37, 563–566 (2014). https://doi.org/10.1007/s00238-014-0990-0
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DOI: https://doi.org/10.1007/s00238-014-0990-0