Mandible reconstructed with mandibular osteomuscular and facial-cervico-pectoral flap

Background

This study evaluated the reliability of using local pedicled mandibular osteomuscular and facial-cervico-pectoral flaps to fill soft-tissue defects of both the mandible and cheek following debridement.

Methods

Six patients with refractory osteoradionecrosis of the mandible underwent radical resection and reconstruction of type H defects with combined pedicled mandibular osteomuscular and facial-cervico-pectoral flaps. The patients consisted of four men and two women with an average age of 50.5 years (range 48–58).

Results

All of the flaps survived. Function and aesthetics were satisfactory for both the patient and surgeon, and no donor-site problems occurred. The patients were followed for an average of 20.6 months (range 16–24) and recurrence was never encountered.

Conclusions

The pedicled mandibular osteomuscular and facial-cervico-pectoral flaps are technically simple, fast to harvest, and have exceptionally long arcs of rotation. These flaps enabled reconstruction of both composite segmental defects of the mandible and soft-tissue defects of the cheek following debridement.