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emphasized the greater incidence of com-plications associated with late alveolargraft, the one that occurs after the eruption

122 Abstracts

ecipient and donor sites were documentednd clinical outcomes were assessed.

Results: A total of 11 cases of mandibu-ar reconstruction have been done in tenatients. Six (60%) of them are femalesnd 4 (40%) are males. The age rangeas between 19 and 61 years. Primary

econstruction with both iliac bone graftnd plate were done in 3 patients, primaryeconstruction with iliac bone graft onlynd secondary reconstruction with bothib graft and plate in 1 patient, primaryeconstruction with only iliac bone in 5atients and, primary reconstruction withteinman’s pin in 1 patient.

Conclusion: All bone grafts were nonascularized and there was 100% take.

Conflict of interest: None declared.

oi:10.1016/j.ijom.2011.07.321

9atissimus dorsi flap as a rescueap. Acero ∗, C. Maza, A.M. Lopez, I. Vila,.E. Asensio, A. Thomas, C. Navarro

Gregorio Maranón Universitary Hospital,adrid, Spain

The latissimus dorsi flap was the firstescribed in medical literature. The firstse is attributed to Tansini in 1896, whenpplied it to breast reconstruction after rad-cal mastectomy. In 1978 Quillen used theedicle form for face and neck defectseconstruction. One year later, Watson cre-ted the first application of it as a freeascularized flap. This flap, in both forms,as really popular in the 80s because it

s easy to dissect, the neurovascular pedi-le is long and wide, it has a large areand low donor site morbidity. We presentcases of secondary reconstruction with

atissimus dorsi muscle flap:First case: 40 year old woman who

resented a right craniofacial giant basalell carcinoma. It was observed facialerve paralysis. We performed resectionnd reconstruction with rectus abdominisicrosurgical flap. After checking that thisap was not viable, we took it out and thene secondary reconstructed the defect withicrosurgical latissimus dorsi flap.

Second case: 63 year old man whoresented a left retromolar trigone andsynchronous larynx squamous cell car-

inoma. We performed tumor resectionith segmental mandibulectomy, an hor-

zontal supraglottic laryngectomy, a left

unctional cervical dissection, and recon-tructed it with microsurgical fibula freeap. After dehiscence and necrosis of soft

issue flap, a new flap reconstruction using

pedicle pectoralis major was done. Then,the patient presented a new cervical dehis-cence because of a pharyngostoma. He hadto be intervened again to cover dehiscenceand repair the pharyngostoma with a pedi-cle latissimus dorsi flap.

Conflict of interest: None declared.

doi:10.1016/j.ijom.2011.07.322

60Reconstruction of theanopthalmic orbit with freeforearm flap

M. Artajona 1,∗, C. Bescós 2, M. Sáez 1,J. Pamias 1, G. Raspall 1, R. Medel 3

1 Maxillofacial Surgery, Spain2 Vall d’Hebron Hospital, Spain3 Ophthalmology, Hospital Vall d’Hebron,Barcelona, Spain

Introduction: Patients with acquiredanopthalmic orbits in childhood have a spe-cific anatomical features making hard to fitproperly the ocular prostheses, especiallythose who have received radiotherapy. Thereconstruction of the anopthalmic orbits isa challenge for the surgeon because thereis no protocol described for treatment.

Material and methods: We present thecase of a young male who in the child-hood received an enucleation of the eyeand radiotherapy due to a retinoblastomain his left eye. Later shows atrophy of theorbit and periorbital region making hard tofit properly the ocular prostheses; so wedecided to perform an orbitary reconstruc-tion with a free forearm flap.

Results: After the surgery the patientpresents an increased volume in the perior-bital region with a well-positioned ocularprostheses and an aesthetic improvement.

Conclusions: In cases of severeanopthalmic orbits, the use of microvas-cular flaps gives us an increased volume,as well as it allows us to improve facialaesthetic results and provides a properadjustment of the ocular prostheses.

Conflict of interest: None declared.

doi:10.1016/j.ijom.2011.07.323

61Innovation in oral maxillofacialsurgeryP. Mehra

Oral Maxillofacial Surgery, Lady HardingeMedical College, New Delhi, India

Reconstruction of the bony defects inthe mandible following sequestrectomy

needs to be bridged properly to avoid dis-abling functional and cosmetic results.

This case report describes an innova-tive method of reconstruction in a caseof chronic suppurative osteomyelitis ofmandible which is simple and effective andgives good long term results.

Conflict of interest: None declared.

doi:10.1016/j.ijom.2011.07.324

62Alveolar graft in lip and palateclefts: results and complications

A.M. Borba 1,2,∗, C.S.V. da Silva 2,P.S. Cé 2, O. Ribeiro Júnior 1,M.C.Z. Deboni 1,M.G. Naclério-Homem 1

1 Department of Oral & MaxillofacialSurgery, Faculty of Dentistry, Universidadede São Paulo - USP, São Paulo, Brazil2 Cleft & Craniofacial Center, HospitalGeral Universitário, Cuiabá, Brazil

Introduction: Orofacial clefts are themost common congenital deformities andreconstruction of the alveolar cleft in lipand palate clefts patients are paramount toproper eruption of permanent teeth, for aneventual prosthetic rehabilitation and clo-sure of oronasal fistula.

Methods: The present study intends toevaluate the result of autogenous osseousgraft performed for reconstruction of thealveolar region in patients with lip andpalate clefs at the Cleft & Craniofacial Cen-ter of the Hospital Geral Universitário, ana-lyzing post-surgical complications. Thedata was obtained from hospital files withinthe period of 2004 and 2010. As forthe complications, the following variableswere recorded: cleft type, gender, age,donor area, type of graft and teeth sur-rounding the cleft.

Results: Seventy-one patients com-posed the total number of patientssubmitted to alveolar cleft bone graft andamong then, thirty two presented some sortof complication in which nineteen neededto be reoperated. The total sample dis-played a median of 16 years old at the timeof surgery, 39 females and 32 males, onepalate cleft, 31 lip clefts and 39 lip andpalate clefts, iliac anterior crest used in 48patients, cortical and cancellous bone usedin 50 patients.

Conclusion: The obtained results

of permanent teeth. This suggests that