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Reconstruction of Mandibular Defects With the Revascularized Free Tensor Fascia Lata Osteomyocutaneous Flap
Shan R. Baker, MD
Arch Otolaryngol. 1981;107(7):414-418.
Abstract
• In recent years, experience with microvascular surgery has enabled the use of free vascularized bone grafts to bridge mandibular defects. Such grafts have several advantages over conventional nonvascularized bone grafts. Advantages include improved survival and more rapid healing in poorly vascularized recipient sites, less risk of absorption, and greater resistance of the graft to infection and subsequent extrusion. Several free osteocutaneous rib grafts have been reported for mandibular replacement; however, only a few reports have advocated the use of free compound flaps that use iliac crest bone. Two cases of immediate mandibular reconstruction used the revascularized free tensor fascia lata osteomyocutaneous flap. This flap uses revascularized iliac crest bone. Viability of one bone graft was confirmed by scintigraphy ten days after transfer of the compound flap.
(Arch Otolaryngol 1981;107:414-418)
Author Affiliations
From the Department of Otorhinolaryngology, University of Michigan Medical Center, Ann Arbor.
Footnotes
Accepted for publication Jan 2, 1981.
Read before the fall annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Anaheim, Calif, Sept 27, 1980.
Reprint requests to 1405 E Ann St, Ann Arbor, MI 48109 (Dr Baker).
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