ePlasty: Vol. 20
Reconstructive Alternative to the Osteocutaneous Free Flap in a Patient With Severe Peripheral Vascular Disease
Nikhil R. Shah, MD,a Haripriya S. Ayyala, MD,a Radhika Malhotra, BS,a Soly Baredes, MD,b and Ramazi O. Datiashvili, MD, PhDa

aDivision of Plastic Surgery, Department of Surgery; and bDivision of Head and Neck Surgery, Department of Otolaryngology, Rutgers New Jersey Medical School, Newark

Correspondence: datiasro@njms.rutgers.edu
Keywords: free flap, head and neck cancer, mandible reconstruction, microsurgery, peripheral vascular disease


A 54-year-old man received a diagnosis of squamous cell carcinoma of the floor of the mouth. The tumor extended to the symphyseal portion of the mandible and fungated through the skin in the submental area. After bilateral selective neck dissections and composite floor of the mouth, partial tongue, and mandible resections, the residual defect measured 168 cm2.


1. What is the epidemiology of invasive head and neck cancers?

2. What are the goals of head and neck reconstruction?

3. What are common options for reconstruction of mandibular defects?

4. What impact does peripheral vascular disease have on .......