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Free Compound Groin Flap Reconstruction of Anterior Mandibular Defect
William R. Panje, MD
Arch Otolaryngol. 1981;107(1):17-22.
Abstract
• The free compound groin flap has been used to reconstruct anterior mandibular defects in four patients. The bone grafts have remained viable despite being placed in irradiated and contaminated fields. Partial intraoral exposure of two of the bone grafts did not interfere with their viability. Positive technetium Tc 99m pyrophosphate scanning, histology, and tetracycline labeling of the bony part of the composite flap indicate the maintenance of osseous viability without a transitory substitution phase for bone remodeling as seen in conventional bone grafts. Bone viability as it relates to blood supply of the free osteocutaneous groin flap is discussed.
(Arch Otolaryngol 107:17-22, 1981)
Author Affiliations
From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa Hospitals and Clinics, Iowa City.
Footnotes
Accepted for publication Sept 12, 1979.
Read before the 1979 Combined Otolaryngological Spring Meeting, Los Angeles, April 5, 1979.
Reprint requests to Division of Head and Neck Surgical Oncology, Department of Otolaryngology and Maxillofacial Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Panje).
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