Submental Artery Island Flap for Soft Tissue Coverage of a Mandibular Reconstruction Plate in a High-Risk Patient With Medication-Related Osteonecrosis of the Jaw. (19th October 2020)

• Record Type: Journal Article
• Authors: Shanti, Rabie M.; Choi, James G.; Okasha, Mohammad; Stanton, David C.
• Is Part Of: Craniomaxillofacial trauma & reconstruction open. Volume 5(2020)
• Publication Date: 2020-10-19
• Subjects: submental artery island flap -- MRONJ -- osteonecrosis of the jaw -- mandibular reconstruction -- ACS NSQIP; Face -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Head -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.51
• DOI: 10.1177/2472751220966423
• Languages: English
• ISSNs: 2472-7512

Abstract

We present a case of a 69-year-old woman with multiple complicating comorbidities who developed medication-related osteonecrosis of the jaw secondary to extraction of multiple teeth with a history of intravenous bisphosphonate therapy for metastatic breast cancer requiring staged management with segmental mandibulectomy with placement of external pin fixator with subsequent exchange of this device for a titanium reconstruction plate and a submental island pedicled flap for soft tissue coverage of the bridging reconstruction plate. Once the surgical sites were well-healed that patient would immediately return to a satisfactory functional outcome with ability to tolerate a soft diet. Furthermore, the patient did not have complications (ie, cardiac, pulmonary, venous thromboembolism, sepsis, surgical site infection, reoperation) during her hospitalization and has done well with her long-term recovery.