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Mandibular reconstruction using osteocutaneous radial forearm flap.

Author(s)
Mamoon Rashid Department of Plastic Surgery, Shifa International Hospital, Islamabad, Pakistan
Muhammad Sarmad Tamimy Department of Plastic Surgery, Combined Military Hospital, Pano Aqil, Pakistan
Sabeen Masroor Department of Plastic Surgery, The Aga Khan University Hospital, Karachi, Pakistan
Muhammad Zia-ul-Islam Department of Plastic Surgery, PNS Shifa Karachi, Pakistan
Tahir Manzoor Department of ENT, Combined Military Hospital, Rawalpindi, Pakistan
Saadur-Rehman Sarwar Department of Plastic Surgery, Fauji Foundation Hospital, Rawalpindi, Pakistan
Nauman Tariq Department of Plastic Surgery, Combined Military Hospital, Rawalpindi, Pakistan
Abstract
Objective: To describe the use of radial forearm osteocutaneous free flap in complex mandibular reconstruction. Study Design: A case series. Place and Duration of Study: Combined Military Hospital, Rawalpindi, from January 1998 to January 2008. Methodology: Patients having a small bony component and a large soft tissue mandibular defect requiring reconstruction were selected. These defects include composite through-and-through defects of the cheek in the retromolar trigone, small lateral bony defects with large intra and extra oral soft tissue defects and small central bony defects with large extra oral tissue loss. Radial forearm osteocutaneous free flap was employed. Complications and graft acceptance were determined at follow-up. Results: Patients were followed-up for an average period of 28 months. Complications occurred in 8 patients. Wound infection and partial wound dehiscence were the most common complication observed in 3 patients. Non-union at recipient site was seen in 2 patients. Flap donor site healed uneventfully in all patients with no fractures at the donor site. Conclusion: The radial forearm osteocutaneous flap covers oromandibular defects with large intra-oral and extra oral soft tissue losses. Lateral and anterior mandibular defects were reconstructed satisfactorily in our series.
Publication Details
Page(s) 519-523
DOI DOI not available
Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 22, Issue: 8, Year: 2012

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