J Korean Assoc Maxillofac Plast Reconstr Surg.  2011 Jan;33(1):44-48.

Reconstruction of Complex Zygomatico-Maxillary Defect Using the Free Vascularized Cutaneous Flap and Autogeneous Bone Graft: Case Report

• Park JH
• Jang JW
• Choi SY
• Kim CS
• Kwon TG

Abstract

Maxillary defects are inherently complex because they generally involve more than one midfacial component. In addition, most maxillary defects are composite in nature, and often require bony support, as well as a mucosal lining for reconstruction. Therefore, midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This might be difficult to achieve only with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in a reconstruction but is limited by graft resorption. We report a case of a patient reconstructed with a lateral arm free flap, iliac bone graft, sagital split ramus osteotomy for the reconstruction of a right maxillary defect zygomatico-maxillary defect caused by a zygomatico-maxillary malignant tumor resection.

Keyword

Zygomatico-maxillary complex; Bone grafts; Lateral arm flap

MeSH Terms

Arm
Free Tissue Flaps
Humans
Osteotomy
Pliability
Transplants