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Customized composite reconstruction of extensive midfacial defects
1Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084, USA.
Annals of Plastic Surgery
|April 2, 1998
Summary
This study demonstrates a novel technique for reconstructing extensive midfacial defects using a customized composite flap. This vascularized bone graft, revascularized by the rectus muscle, offers a feasible solution for complex reconstructive challenges.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Extensive midfacial defects pose significant reconstructive challenges.
- Traditional methods may have limitations in achieving optimal functional and aesthetic outcomes.
- Vascularized bone grafts are crucial for successful reconstruction in complex cases.
Observation:
- Two patients with extensive midfacial defects were treated.
- A customized composite flap was designed and harvested.
- Autogenous bone from the iliac crest was revascularized by the rectus muscle.
Findings:
- The composite flap was transferred as a single unit using microvascular techniques.
- The revascularized bone graft successfully filled the osseous defect.
- The rectus muscle, despite its bulk, was amenable to contouring due to its robust blood supply.
Implications:
- This technique demonstrates the feasibility of revascularizing a composite flap for midfacial reconstruction.
- The method offers a viable option for complex reconstructive scenarios.
- Further research and refinement are needed to optimize this reconstructive approach.
