flaps used in reconstruction of the cranio-maxillo-facial region

ABSTRACT

This is a retrospective study of reconstructive flaps used in 30 patients, who underwent ablative maxillo-facial surgery. They were treated between Feb. 1988-Dec. 1990. These were 16 females and 14 males, within the range of 15-65 years, [av. age 35 yrs.] The reconstruction was carried out with local flaps eg Abbe-Estlander flap in 4 patients, and axial distant flap in 23. The later group comprised of Mcgregor's forehead flap in 4 patients, Bakamjian's Deltopectoral flap in 5patients, the Pectoralis major myocutaneous flap in 6 patients, and the Pectoralis major myocutaneous with an osseous graft [myoosseo-cutaneous] in 8 patients. Other flaps used included full thickness skull graft in 1 patient, pericranial dermal flap in 1 patient and myocutaneous sternomastoid flap in 1 patient. After a followup of 6-18 months, overall result of repair have been satisfactory, though partial rejection or exposure of a mandibular replacement due to deficient oral mucosa posed a few problems Unfortunately, recurrent disease or a subsequent second primary in the Head and Neck region continue to spoil the results: