J Korean Soc Plast Reconstr Surg.  2005 May;32(3):381-384.

A Case of Primary Reconstruction using Fibular Osteocutaneous Free Flap after Total Maxillectomy Due to Rhabdomyosarcoma

• Kim TH
• Oh DY
• Lee PK
• Kim MS
• Rhie JW
• Ahn ST

Abstract

Rhabdomyosarcoma is a rare malignancy of head and neck region. When rhabdomyosarcoma occurs in maxillary area, total maxillectomy is necessary. Total maxillectomy causes defects of orbital floor, palate, gingiva, and alveolar bone, causing severe facial deformity and functional impairment. Immediate maxillary reconstruction has to cover both bone and soft tissue to minimize cosmetic and functional problems. The fibular osteocutaneous free flap can provide paranasal, gingiva, oral mucosal lining and foundation for dental prosthesis, thus ensuring good cosmetic results and mastication, phonation function. We have experienced a reconstruction case of a 19-year-old man with rhabdomyosarcoma of the left maxillary sinus. The patient underwent total maxillectomy and neck dissection. We designed a fibular free flap that had a vascularized bone segment and a double skin paddle. Surgical outcomes were excellent in cosmetic and functional aspects.

Keyword

Rhabdomyosarcoma; Fibular flap; Maxillary reconstruction

MeSH Terms

Congenital Abnormalities
Dental Prosthesis
Free Tissue Flaps*
Gingiva
Head
Humans
Mastication
Maxillary Sinus
Neck
Neck Dissection
Orbit
Palate
Phonation
Rhabdomyosarcoma*
Skin
Young Adult