Tubed free flap combined with split-rib-graft for reconstruction of multiple oral cavity defects. A case report

The successful use of a conventional bone graft for mandibular reconstruction in combination with a free forearm flap is described. Two separate intraoral mucosal defects, one in the mandible and one in the palate, were covered, using the same flap and partial tubing of the flap. Three weeks post-flap-transfer the flap was successfully divided. A safe reliable and versatile technique combining nonvascularized bone graft and free flap for simultaneous reconstruction of mandibular and intraoral mucosal defects is described. Simultaneous coverage of multiple intraoral defects with tubing of the flap is found to be possible.