Work

Osteocutaneous radial forearm free flap with islanded bony segments for maxilla reconstruction: A case report

Year: 2025

Type: article

Abstract: Maxillofacial LeFort 1 surgery is a widely used procedure for correcting midface deformities, but it can occasionally result in rare and destructive complications such as non-union of osteotomy gaps and maxillary necrosis. Addressing these complications requires careful consideration of their severity, the surgeon's expertise, and the patient's desired outcomes. Comprehensive imaging, a detailed surgical history , and thorough preoperative planning are essential. We present the case of a 61-year-old Caucasian male referred to the otolaryngology – head and neck surgery clinic for bilateral oroantral fistulas , with multiple failed repair attempts following LeFort I osteotomy for midfacial deformity correction. Reconstruction was performed using an osteocutaneous radial forearm free flap with two separate osteotomy segments to fill the bony defect and seal the fistulas , resulting in full resolution of symptoms.

Source: Oral and Maxillofacial Surgery Cases

DOI: 10.1016/j.omsc.2025.100401

Authors: Emily DuBuc, Russell Arellanes, Greta Guillette, Changxing Liu

Institutions: Oklahoma State University Center for Health Sciences, Oklahoma State University, Oklahoma State University Medical Center, Ascension, St. John Medical Center

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,120