J Korean Soc Plast Reconstr Surg Search


Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(3):381-384.
Published online May 1, 2005.
A Case of Primary Reconstruction using Fibular Osteocutaneous Free Flap after Total Maxillectomy Due to Rhabdomyosarcoma.
Tae Hyung Kim, Deuk Young Oh, Paik Kwon Lee, Min Sik Kim, Jong Won Rhie, Sang Tae Ahn
1Department of Plastic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. rhie@catholic.ac.kr
2Department of Otolaryngology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
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.
Keywords: Rhabdomyosarcoma; Fibular flap; Maxillary reconstruction
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 178 View
  • 0 Download

The Effects of Breast Reconstruction Using Latissimus Dorsi Myocutaneous Pedicled Flap for Lymphedema.2006 May;33(3)

Treatment of Chronic Osteomyelitis of Femur and Reconstruction with Fibular Osteocutaneous Free Flap.2006 September;33(5)

Immediate Breast Reconstruction with Transverse Rectus Abdominis Myocutaneous Free Flap after Skin Sparing Mastectomy.2001 November;28(6)

Maxilla reconstruction with free flap after total maxillectomy.1991 January;18(1)

Total Maxillary Reconstruction Using a Double-Barreled and Double Skin Paddle Fibular Flap after Total Maxillectomy2013 November;40(6)

Article category

Browse all articles >


Browse all articles >

Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-3472-8252    Fax: +82-2-3472-4254    E-mail: apsedit@gmail.com                

Copyright © 2019 by Korean Society of Plastic and Reconstructive Surgeons. All rights reserved.

Developed in M2community

Close layer
prev next