Management of Squamous Cell Carcinoma with Inferiorhemi- maxillectomy and Reconstruction of Defect with Fibular Osteocutaneous free- flap.

Abstract

Objective: Aesthetically and functionally evaluation of using fibular osteo-cutaneous free-flap in hemi-maxillectomy defect.Case: Squamous cell carcinomas constitute %90-95 of oral malign neoplasms. Carcinomas which include alveolar mucosa, gum andpalatinal mucosa are seen frequently. To treat this tumors inferior or hemi maxillectomy is being performed according to its borders. Forreconstruction the defect which occurs after resection, micro-vascular flaps from variable areas are being used.Conclusion: In this case; reconstruction is being performed by using fibular osteo-cutaneous free-flap which has high cortical bone support and shows low donor site morbidity.We achieved functionally and aesthetically pleasing results and there was no problem observed in control sessions.