Microvascular transfer of burned tissue for mandibular reconstruction

John Antonetti, Garry W. Killyon, Peter Chang, Robert L. McCauley

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    We present a case of mandibular reconstruction using a free-vascularized fibula osteocutaneous flap after invasive infection of the mandible with mucormycosis. Unique to this case is the skin paddle that previously sustained full-thickness burn injury treated with cultured skin substitute (CSS). A 10-year-old boy sustained a 96% total body surface area burn. CSS was used to obtain wound closure. However, he developed invasive mucormycosis of the mandible requiring resection. The best option for mandibular reconstruction was the use of a free-vascularized fibular osteocutaneous flap with CSS as a skin paddle. The reconstruction was performed without complications. To our knowledge this is the first case describing the use of CSS in free tissue transfer. With the improved prognosis in massively burned patients and the increased use of cultured skin for wound coverage, complex reconstruction using previously burned tissue will be required. Previously burned skin including tissue grafted with skin substitutes attains vascularity and healing properties that allow flap elevation for burn reconstruction. Successful utilization of previously burned skin relies on the ability to provide adequate blood supply to the flap by preservation or regeneration of its angiosome.

    Original languageEnglish (US)
    Pages (from-to)536-539
    Number of pages4
    JournalJournal of Burn Care and Research
    Volume30
    Issue number3
    DOIs
    StatePublished - May 2009

    Fingerprint

    Artificial Skin
    Mandibular Reconstruction
    Skin
    Mucormycosis
    Mandible
    Wounds and Injuries
    Fibula
    Body Surface Area
    Regeneration
    Infection

    ASJC Scopus subject areas

    • Emergency Medicine
    • Rehabilitation
    • Surgery

    Cite this

    Microvascular transfer of burned tissue for mandibular reconstruction. / Antonetti, John; Killyon, Garry W.; Chang, Peter; McCauley, Robert L.

    In: Journal of Burn Care and Research, Vol. 30, No. 3, 05.2009, p. 536-539.

    Research output: Contribution to journalArticle

    Antonetti, John ; Killyon, Garry W. ; Chang, Peter ; McCauley, Robert L. / Microvascular transfer of burned tissue for mandibular reconstruction. In: Journal of Burn Care and Research. 2009 ; Vol. 30, No. 3. pp. 536-539.
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