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Cirugía Plástica Ibero-Latinoamericana
versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892
Resumo
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 08-Fev-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.
Palavras-chave : Mandible; Mandibular reconstruction; Fibula free flap; Radial foramen free flap.