[Osteomuscular serrato-costal free flap: application to mandibular reconstruction]

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Reconstructive Surgery

Background:

• Mandibular defects often require complex reconstruction.
• Free flaps are a common reconstructive option.
• The serrato-costal flap offers a unique approach.

Observation:

• The serrato-costal free flap utilizes a costal flap vascularized by the serratus anterior muscle.
• This flap is supplied by the dorsal thoracic artery.
• The technique is characterized by ease and speed of elevation.

Findings:

• The serrato-costal free flap provides a large graft.
• The procedure is associated with low patient morbidity.
• Functional outcomes are highly satisfactory.
• The flap does not accommodate implant placement.

Implications:

• This technique presents a viable option for mandibular reconstruction.
• It offers functional benefits with minimal complications.
• Limitations regarding implant insertion should be considered in surgical planning.