Pedicled mandibular osteomuscular flap for zygomatic reconstruction through a modified Weber-Ferguson incision.

The aim of this study was to evaluate the use of a pedicled mandibular osteomuscular flap for zygoma reconstruction through a modified Weber-Ferguson incision. The study included 3 male patients and 2 female patients with an average age of 46 years. Zygomatic ameloblastoma was present in 2 cases. Vascular malformation was present in 2 cases, and chondromyxoid fibroma was present in 1 case. In all 5 patients, surgery consisted of a wide excision of the lesions with margins of at least 5 mm to ensure complete removal. The defects that were created measured between 3 x 3 and 4 x 4 cm. Primary reconstruction of the zygoma was carried out by a pedicled mandibular osteomuscular flap. No flap failures occurred. Proper aesthetics and complete functionality were obtained, and there were no donor-site problems. The patients were followed up for 12 to 24 months, with an average period of 18.6 months, and recurrence was never encountered.