Sükrü KASAP, Muhammed Said AYDIN, Mustafa NISANCI, Gökay ÖZLER
Turkish Journal of Plastic Surgery - 2026;34(4):177-180
Segmental mandibular defects, especially in medically complex patients, present significant reconstructive challenges. In situations where microvascular free tissue transfer is contraindicated, pedicled osteomuscular flaps provide a reliable alternative. We report the reconstruction of a 5 cm mandibular defect in a 71-year-old female patient, associated with intraoral tissue compromise, using a pedicled osteomuscular dorsal scapular flap. The flap, incorporating a segment of the medial scapula and lateral rhomboid muscles, allowed simultaneous restoration of bone and soft tissue. The contracted tongue flap was fully released, effectively covering the intraoral defect and restoring speech and mastication. Postoperative assessment showed stable bone reconstruction, preserved shoulder function, and no donor site morbidity. This case highlights the technical feasibility, functional benefits, and versatility of the pedicled osteomuscular dorsal scapular flap, providing a valuable reconstructive option in high-risk patients when free tissue transfer is not feasible.
