Reverse facial artery–submental artery mandibular osteomuscular flap for the reconstruction of maxillary defects following the removal of benign tumors
✍ Scribed by Wei-Liang Chen; Jian-Tao Ye; Zhao-Hui Yang; Zhi-Quan Huang; Da-Ming Zhang; Ke Wang
- Publisher
- John Wiley and Sons
- Year
- 2009
- Tongue
- English
- Weight
- 349 KB
- Volume
- 31
- Category
- Article
- ISSN
- 1043-3074
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✦ Synopsis
Abstract
Background.
Functional and aesthetic restoration in maxillary reconstruction remains a challenge. Although many free flap procedures have become popular in maxillary reconstruction, these microsurgical methods have certain limitations and risks. This study assessed the reliability of the reverse facial artery–submental artery mandibular osteomuscular flap for reconstructing maxillary defects.
Methods.
Eight maxillary defects following benign tumor ablation were repaired with reverse facial artery–submental artery mandibular osteomuscular flaps. The patients ranged in age from 16 to 33 years; 5 were male and 3 were female. Maxillary odontogenic myxoma was present in 3 cases, maxillary fibrous dysplasia and ameloblastoma in 2 cases each, and chondromyxoid fibroma in 1 case. The defects were classified as class 2a.
Results.
Primary reconstruction of the maxilla was carried out using a pedicled mandibular osteomuscular flap. No flap failures occurred. Dental reconstruction was successful in all patients. Proper aesthetics and complete functionality were obtained, and there were no donor‐site problems. The patients were followed for 12 to 24 months, with an average of 18.6 months, and no recurrence was encountered.
Conclusion.
The reverse facial artery–submental artery mandibular osteomuscular flap is safe, quick, and simple to elevate. The flap can be used reliably for reconstructing maxillary defects. © 2009 Wiley Periodicals, Inc. Head Neck, 2009