Objective: To analyze the rationale and feasibility of maxillary reconstruction using free fibula-flexor hallucis longus myofascial flap.
Methods: Nine consecutive cases of maxillary reconstruction using free fibula-flexor hallucis longus myofascial flaps from August of 2002 to August of 2003 were reviewed. Data concerning the operation included description of maxillary defect, design of the fibula flaps, recipient vessel and complications.
Results: One flap experienced venous thrombosis after operation, and the flap was salvaged after exploration. All the flaps survived completely with the overall success rate of 100%, as well as the 100% survival of all fibula-flexor hallucis longus myofascial flaps.
Conclusions: Maxillary reconstruction using free fibula-flexor hallucis longus myofascial flap without skin paddle is feasible and reliable.