Utilization of free tissue transfer for pediatric oromandibular reconstruction.

Head and neck tumors requiring large composite resections are rare in pediatrics. Large soft tissue and/or bony resections are usually the result of a neoplastic, traumatic, or infectious process. Sarcomas are the most common malignancy. Surgical resection is usually recommended after chemotherapy and/or radiation therapy. Free tissue transfer is safe and effective in this population, which has continued craniofacial growth and development. The surgeon must know the anatomic location of the growth centers and facial skeletal relationships because disruption results in abnormal development. Free tissue transfer can restore normal maxillomandibular occlusion and condylar-cranial articulation.