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Simultaneous maxillary and mandibular reconstruction with one free osteocutaneous flap
1Department of Surgery, University of Kentucky Chandler Medical Center, Lexington.
Plastic and Reconstructive Surgery
|July 1, 1993
Summary
This study presents a novel approach to immediate facial reconstruction using a single vascularized bone graft for simultaneous maxillary and mandibular repair. It details the first-ever use of vascularized fibular bone for total immediate maxillary reconstruction.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Head and Neck Surgery
Background:
- Immediate reconstruction of massive facial injuries is complex.
- Rigid internal fixation and free-tissue transfer are evolving techniques.
- Current methods face challenges in extensive maxillary and mandibular defects.
Observation:
- This case report details a unique staged reconstruction.
- It involved simultaneous maxillary and mandibular reconstruction using one vascularized bone graft.
- Immediate total maxillary reconstruction was achieved with vascularized fibular bone.
Findings:
- The study reports the first instance of simultaneous combined maxillary and mandibular reconstruction with a single vascularized bone graft.
- It also documents the first immediate total maxillary reconstruction using vascularized fibular bone.
- A tubed radial forearm flap was utilized for nasopharyngeal closure.
Implications:
- This technique offers a new paradigm for complex facial reconstructions.
- It demonstrates the feasibility of using vascularized fibular bone for extensive maxillary defects.
- The findings may advance surgical strategies for severe facial trauma.