Work

Heterotopic ossification of the fibula flap pedicle causing trismus in a pediatric maxillary reconstruction

Year: 2025

Type: article

Abstract: We present the case of a 13-year-old boy who developed heterotopic ossification along the pedicle of a fibula osteocutaneous free flap used for complex midface reconstruction following a ballistic injury. While rare in pediatric patients, this complication resulted in severe trismus, which required surgical excision of the pedicle. This case highlights the importance of long-term surveillance and periosteal management strategies in children undergoing fibula flap reconstruction of the maxilla.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf1078

Authors: Adam A Karkoutli, Jacob Beiriger, Hilary McCrary

Institution: University of Utah

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: $1,000