Abstract

ROBALINO-TORRES, Diego et al. Double free flap for complex mandibular reconstruction: osteocutaneous fibula flap and radial forearm flap. Case report. Cir. plást. iberolatinoam. [online]. 2018, vol.44, n.1, pp.85-91.  Epub Feb 08, 2021. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922018000100018.

Mandibular reconstruction with double vascularized free flap in the reconstruction of head and neck is unusual.

This article describes the case of a female patient 24 years old with a high-grade chondroblastic osteosarcoma of the floor of the mouth and of the left hemimandible. Hemimandibulectomy was performed with a wide resection of submandibular skin, leaving a complex defect which included bone, mucosa and skin.

Tumor resection and reconstruction of the defect was performed in a single surgical procedure through 2 free flaps: a free osteocutaneous fibula flap and radial forearm flap.

The reconstruction allowed to achieve an adequate chewing function, aesthetic mandibular contour and normal phonation.

Keywords : Mandible; Mandibular reconstruction; Fibula free flap; Radial foramen free flap.

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