Mandibularl Reconstruction with Various Methods Including Iliac and Fibular Osteocutaneous free Flaps

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Journal of the Korean Society for Surgery of the Hand 2000;9(1):6-14.
Published online May 31, 2000.

In Chul Kim, M.D., Kyoung Won Minn, M.D., Chin Whan Kim, M.D., Chul Gyoo Park, M.D., Yoonho Lee, M.D., Suk Wha Kim, M.D., Sung Tack Kwon,M.D., Ji Hyuk Kim, M.D., Min Goo Lee, M.D.*

유리 피판술을 포함한 다양한 방법의 하악골의 재건술

김인철·민경원·김진환·박철규·이윤호·김석화·권성택·김지혁·이민구*

Abstract

  Reconstruction of the composite mandibular defect resulting from ablative resection of tumor involved jaw has been challenging task to the plastic surgeon. A wide variety of different techniques were used with limited success until the advent of microsurgery. The high success rate of microsurgical procedures has allowed for significant improvement in both functional and aesthetic results. A variety of free flap donor sites have been used successfully for mandibular reconstruction.
  Between April of 1991 and August of 1998, 20 mandibular reconstructions were performed for oncologic defects. 4 patients underwent mandibular reconstruction with pectoralis major flap, 3 patients with free nonvascularized bone graft, 1 patient with metal plate. 12 patients underwent microvascular mandibular reconstruction(8: fibula, 4: ilium ). The type of free flap was determined by the requirements of the defect. Satisfactory aesthetic and functional results were achieved in all cases without significant complications. So microvascular mandibular reconstruction should be considered as primary choice in all mandibular defect without hesitation.

Key Words: Mandible reconstruction, Free flap

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