Rib-latissimus dorsi osteomyocutaneous flap in reconstruction of a mandibular defect

This report describes a one-stage reconstruction of a complete hemi-mandibular defect caused by osteoradionecrosis due to radiation and ablation for cancer of the tongue with a compound rib-latissimus dorsi osteomyocutaneous flap. The entire flap including the bone took well and the viability of the transplanted tissue was confirmed by X-ray, bone scans and surgical biopsy.