[Ora-maxillofacial traumatic defects reconstruction with free flaps].

Objective To evaluate the application, indications and outcomes of free flaps for ora-maxollofacial traumatic defects reconstruction. Methods Twenty consecutive cases of ora-maxollofacial the traumatic defects reconstruction with free flaps were reviewed. All clinical data including causes of injuries, the type of defects, selection of free flaps, perioperative complications and the follow-up were analyzed. Results All the cases underwent free flap reconstruction for ora-maxollofacial traumatic defects: 8 cases with soft tissue defects, 12 cases with soft and hard tissue defects. Fifteen patients received two-stage operation and 5 patients underwent primary reconstruction at the time of debridement or fracture reduction. Twenty free flaps were applied for the reconstruction, 11 cases with fibula flap, 1 case with iliac crest free flap, 7 cases with radial forearm flap and 1 case with scapula flap. No flap failure occurred. The successful rate of free flaps transfer was 100%. Conclusions The free flaps transfer is reliable and can reconstruct the ora-maxollofacial traumatic soft and hard tissue defects. Fibula and radial forearm free flap are the most common used flaps. Early aggressive surgery with free flaps transfer for traumatic defects can prevent the scar contracture and tissue displace, which can shorten the treatment period and improve the final outcome. Key words: Surgical flaps;  Wounds and injuries;  Reconstructive surgical procedures