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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 36(4); 1993 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(4): 758-765.
Immediate oromandibular reconstruction by osteocutaneous free flap after composite resection.
Jang Su Suh, Jin Kyu Park, Ywong Hun Kwon, Jae Sung Choi, Kyeong Jong Choi
하악 복합절제 후 유리 골피판술을 이용한 하악 동시재건술
서장수1 · 박진규1 · 권영훈1 · 최재성1 · 최경종1 · 최시호2
영남대학교 의과대학 이비인후과학교실1;성형외과학교실2;
ABSTRACT

Total oromandibular rehabilitation after composite mandibular resection is a formidable task and requires a complex reconstructive strategy tailored to the specific defect and needs of each patient. Ideal oromandibular reconstruction should restore preoperative occulusion, jaw mechanics, intelligible speech and cosmesis. Whenever possible, immediate single stage reconstruction is always preferable to delayed reconstruction to maintain quality of life. Osteocutaneous free flap has increased the availability of bone and soft tissue, providing one-stage reconstruction of composite defects. We report two cases of oral cavity cancer that were taken composite resection and reconstructed with a fibular osteocutaneous free flap and a scapular osteocutaneous flap.

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