Reconstructive Surgery for Head and Neck Cancer Patients

Figure 2

Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.

(a)

(b)

(c)

(d)