Abstract
We have performed maxillary reconstructions using a free rectus abdominalis flap before . But, gradually, the facial deformity advances and the flap hangs down due to the atrophy of rectus abdominal muscle. A bone reconstruction is necessary for the prevention of these deformity. The separated osteocutaneous scapular flap preserving the angular branch includes the ability to design multiple cutaneous flaps and two separated bone flaps allowing improvement in three-dimentional spatial relationships for maxillary reconstruction . We have performed the maxillary reconstruction using the separated osteocutaneous scapular flap preserving the angular branch and experienced excellent results . The authors report the operation method of maxillary reconstruction .
