Primary reconstruction of composite oromandibular defect with sliding osteotomy and tendinofasciocutaneous radial forearm free flap: A CASE report

Abstract

Reconstruction of large composite defects involving the mandible and lower lip is often challenging. We present a CASE of a 36-year-old Burmese lady, a UNHCR refugee with squamous cell carcinoma of the lower left alveolus. Reconstruction of the composite mandibular defect involving the lower lip, chin and mandible was accomplished using the mandibular sliding osteotomy technique bilaterally, combined with tendino-fasciocutaneous radial forearm free flap. This case report aims to present the authors’ experience and challenges in using the sliding osteotomy technique in mandibular reconstruction following tumour ablation.

Keywords

• Sliding osteotomy
• Mandibular reconstruction
• Radial forearm free flap