Vascularized metatarsal transfer in mandibular reconstruction

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic and Reconstructive Surgery
• Microsurgery

Background:

• Reconstructing mandibular defects with associated mucosal deficits presents a surgical challenge.
• Optimal reconstruction requires an osteocutaneous flap that closely integrates bone and skin.
• Anatomic curvature is crucial for anterior mandibular defects.

Observation:

• The second metatarsal and toe osteocutaneous flap has been utilized for eighteen years.
• This flap provides a bony framework with inherent curvature.
• The skin component of the flap closely associates with the bone.

Findings:

• The second metatarsal and toe osteocutaneous flap is a viable option for mandibular mucosal replacement.
• The flap's inherent curvature effectively simulates the natural mandibular contour.
• Successful reconstruction of anterior mandibular defects is achievable with this technique.

Implications:

• This flap offers a reliable solution for complex mandibular reconstructions.
• It facilitates restoration of both form and function in patients with significant defects.
• The long-term success suggests its continued utility in reconstructive surgery.