Ja. Arons et B. Guyuron, USE OF A RECTUS-ABDOMINIS OSTEOMYOCUTANEOUS DOUBLE ISLAND FLAP BASED ON INTERNAL MAMMARY VESSELS, British Journal of Plastic Surgery, 48(3), 1995, pp. 145-149
A very rare condition of osteoma cutis was presented by a patient who
required an unusual solution to an unusual problem, Multiple surgical
procedures were performed during the treatment of the disease, thereby
prohibiting the use of more common regional or distant flaps to achie
ve successful mandibular reconstruction. Microvascular tissue transfer
was also not feasible because of two previously-failed free flaps and
an operative field that was densely fibrotic. A pedicled rectus abdom
inis myocutaneous flap with incorporated vascularized rib graft is des
cribed as a last resort approach for simultaneous reconstruction of th
e mandible and oral soft tissue.