Complex multiple flap reconstruction in a rare recurrent metastatic osteosarcoma of the mandible

Tamer Ghanem,Francis Hall,Jamie Lindholm,Linda Hsu,Robert Deeb

doi:10.15761/ohns.1000105

Abstract

Complex multiple flap reconstruction in a rare recurrent metastatic osteosarcoma of the mandible

Highlights

Osteosarcoma is the most common malignant bone tumor and is characterized by osteoid production by malignant cells [1,2]
Osteosarcoma is very rare in young children, the incidence increases in adolescents, coinciding with adolescent growth spurt between the ages of 13 and 16 [4]
Osteosarcomas are more commonly found in boys and in non-Caucasians [4]

Summary

Introduction

Osteosarcoma is the most common malignant bone tumor and is characterized by osteoid production by malignant cells [1,2]. The patient underwent induction chemotherapy with a combination of cisplatin, doxorubicin and high-dose methotrexate This was followed by surgical resection of the right proximal femur as well as intraoperative placement of an external fixator with femoral artery repair and a cadaver femoral allograft. Ghanem T (2016) Complex multiple flap reconstruction in a rare recurrent metastatic osteosarcoma of the mandible cryotherapy for local regional control of the tumor in 2010. The reconstruction was based on 2 free flaps: a fibula osteocutaneous flap and a five-component subscapular-based flap The former flap was utilized for mandible and submental skin coverage, while the latter reconstructed all the remaining defects, which included the floor of the mouth, entire oral tongue, cheek through-and-through defects, lower lip, and neck skin.

Discussion

Conclusion