Key words
P. M. rib Osteomyocutaneous flap, free graft, mandibular arch.Resection of mandible for floor of the mouth cancer results in predictable deformity depending on the extent of resection. Anterior segment resection results in medial rotation of both remaining segment combined with loss of support for the base of the tongue and hyoid bone. Such a defect results in a devastating functional and aesthetic deformity which so debilitating that primary reconstruction is mandatory.
Reconstruction of composite defect is performed
rig-iShowing the pre operative lesion in the floor of the mouth
Fig-2Showing the marking of the flap with fifth rib with bone and soft tissue in one operation as far as possible to shorten the hospital stay.The reconstruction of bony part is always a challange. It may be plates, titanum trays, cortico cancellous grafts etc. These have high complication rate for extrusion and infection. By ~ontrast, vascularised bone graft like ( )steomyocut. and microvascular flaps allow for l~rimary healing of the graft as if it were a simple fracture (3). The recent popularity of free graft
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