Deep Circumflex Iliac Artery Free Flap in Mandible Reconstruction

Abstract

Preservation of the lower third of the face through precise restoration of the missing mandibular unit is essential for maintaining form and function. A well-designed composite flap provides the essential vascular template necessary to support the long-term success of this complex anatomic reconstruction. The free iliac bone flap facilitates immediate reconstruction of the mandible with excellent functional and cosmetic results. Achieving a good result after mandibular demolition is invaluable to a patient's quality of life and allows successful rehabilitation, which is otherwise condemned without application of these principles. © 2006 Elsevier Inc. All rights reserved.