Abstract
A local pedicled vascularized bone flap can prevent the morbidity and cost of free
bone flap surgery in small segmental bone defects or long cartilaginous defects of
the head and neck. Such flaps can also be useful in patients who are high risk for
surgery. The periosteal vascularity of the mandible can be used to design islanded
facial artery-based bone flaps, which can be utilized to that extent. Two patients
with a small segmental mandibulectomy defect and one patient with a long cricotracheal
resection defect underwent reconstruction using three different designs of islanded
facial artery osteomyomucosal/osseous flap (iFOMM). The patients had a minimum follow-up
period of 18 months. All flaps were successful, with satisfactory healing and without
any functional deficit or disease at last follow-up.
Key words
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Article info
Publication history
Published online: December 04, 2020
Accepted:
November 9,
2020
Identification
Copyright
© 2020 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
