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KMID : 0361020010440070775
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 7 p.775 ~ p.779
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Two Cases of Double Free Flap Reconstruction for Oromandibular Defect
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Abstract
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En bloc defects, which can also be defined as extensive composite defects, present as one of the most complex reconstructive challenges in the head and neck area. Although most head and neck defects can be reconstructed using a single free tissue
transfer, the use of two free flap is indicated for massive tissue defects or for composite tissue requirement that cannot be met with a single free flap. In this paper, we report two patients with composite defects. They underwent single-stage,
double
free flap reconstruction utilizing a fibular osteoseptocutaneous flap to reconstruct the mandible and floor of the mouth, as well as an innervated radial forearm fasciocutaneous composite flap with the palmaris longus tendon and the latissimus
dorsi
free flap for the total tongue reconstruction. Both patients had acceptable functional and aesthetic outcomes.
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