J Reconstr Microsurg 1987; 3(3): 175-179
DOI: 10.1055/s-2007-1006982
ORIGINAL ARTICLE

© 1987 by Thieme Medical Publishers, Inc.

Bilateral Functional Mandibular Reconstruction Using the Iliac Crest Free Flap: A Case Report

Justin L. Paletz, J. Brian Boyd, Irving B. Rosen
  • Department of Surgery, University of Toronto, Ontario, Canada
Further Information

Publication History

Accepted for publication 1986

Publication Date:
08 March 2008 (online)

ABSTRACT

A patient who developed multiple metachronous primary carcinomas of the oral cavity is presented. After initial radiation therapy, a right hemimandibulectomy was required, followed ten months later by a left hemimandibulectomy. Immediate reconstruction of each defect was performed with a free vascularized iliac crest osteocutaneous flap. Using this flap, both bony continuity and intraoral lining were successfully restored. The patient was able to return rapidly to his previous activities. The results of this case suggest that preservation of the mandibular condyle for lateral fixation of the bone graft is superior to disarticulation of the temporomandibular joint in terms of cosmetic and functional outcomes.