Cranial Maxillofac Trauma Reconstruction 2017; 10(01): 73-76
DOI: 10.1055/s-0036-1584402
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Reconstruction of a Combined Maxillectomy and Segmental Mandibulectomy Defect in a Seven-Year-Old with a Single Free Fibula Osteocutaneous Flap

Shawn T. Joseph1, Krishnakumar Thankappan1, Subramania Iyer1
  • 1Department of Head and Neck Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India
Further Information

Publication History

26 May 2015

24 January 2016

Publication Date:
22 June 2016 (eFirst)


Combined upper alveolectomy and segmental mandibulectomy are complex defects. Reconstruction of these defects is usually suboptimal. We describe the case of a pediatric patient with vessel-depleted neck with recurrent vascular malformation involving the ramus and coronoid process of mandible and a previous history of maxillectomy and a reconstruction with anterolateral thigh flap. The patient underwent wide resection. The defects involving the upper alveolus and mandible were simultaneously reconstructed with a single free fibula flap.