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Reconstruction of combined oral mucosa-mandibular defects using the vascularized myoosseous iliac crest free flap

 Hwi-Dong Jung  ;  Woong Nam  ;  In-Ho Cha  ;  Hyung Jun Kim 
 Asian Pacific Journal of Cancer Prevention, Vol.13(8) : 4137-4140, 2012 
Journal Title
 Asian Pacific Journal of Cancer Prevention 
Issue Date
The authors present five cases of combined oral mucosa-mandible defects reconstructed with the vascularized internal oblique-iliac crest myoosseous free flap. This technique has many advantages compared to other conventional methods such as the radial flap, scapula flap, and fibula flap. Vascularized iliac crest flaps provide sufficient high-quality bone suitable for reconstructing segmental mandibular defects. Although fibular flaps allow longer donor bone tissue to be harvested, the iliac crest can provide an esthetic shape for mandibular body reconstruction and also provides sufficient bone height for dental implants. Conventional vascularized iliac crest myoosseous flaps have excessive soft tissue bulk for reconstruction of intraoral soft tissue defects. The modification discussed in the present article can reduce soft tissue volume, resulting in better functional reconstruction of the oral mucosa. Another advantage is that complete replacement of the oral mucosa is observed in as early as one month post-operation. The final mucosal texture is much better than that obtained with other skin paddle flaps, which is especially beneficial for the placement of dental implant prostheses. Donor site morbidity looks to be similar to, if not less than that observed for other modalities in terms of function and esthetics. For combined oral mucosa-mandible defects, the vascularized internal oblique-iliac crest myoosseous free flap shows good results with respect to hard and soft tissue reconstruction.
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2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
김형준(Kim, Hyung Jun) ORCID logo https://orcid.org/0000-0001-8247-4004
남웅(Nam, Woong) ORCID logo https://orcid.org/0000-0003-0146-3624
정휘동(Jung, Hwi Dong) ORCID logo https://orcid.org/0000-0003-1025-8323
차인호(Cha, In Ho) ORCID logo https://orcid.org/0000-0001-8259-2190
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