[One-stage flap reconstruction of mandibular defects]

Area of Science:

• Oral and Maxillofacial Surgery
• Reconstructive Surgery
• Oncology

Background:

• Mandibular reconstruction is challenging due to complex anatomy and functional demands.
• Previous methods like synthetic implants and autogenous grafts have limitations.
• The need for well-vascularized recipient beds is critical for successful reconstruction.

Observation:

• This study evaluated free osteocutaneous scapular and iliac flap techniques for mandibular reconstruction.
• These techniques were applied in three patients with defects from fibrous dysplasia, osteosarcoma, and oral cancer.

Findings:

• Free osteocutaneous flaps address both bony and soft tissue deficits effectively.
• These methods overcome drawbacks associated with local flaps and grafts.
• Successful reconstruction restored mandibular form and function in the studied cases.

Implications:

• Free osteocutaneous flaps represent a viable and advanced option for complex mandibular reconstruction.
• These techniques can improve functional and aesthetic outcomes for patients.
• Further research can explore long-term results and expand indications for these flap techniques.