Abstract
A case series of five patients with skin loss in the lateral face with trismus that
followed delayed presentation following trauma, necrotizing infection, and radiation
fibrosis was treated with coronoidectomy and condylar excision to effect adequate
mouth opening; the anterolateral thigh flap was used for cover and the fascia was
used as an interposition graft to prevent recurrence. Two patients with more than
9 years of follow-up had an average of 40 mm interincisal opening.
Keywords
anterolateral thigh flap - coronoid excision - condylectomy - vascularized fascia
- facial skin loss - necrotizing infection