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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.
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.
Keywords: Rhabdomyosarcoma; Fibular flap; Maxillary reconstruction
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