Osteofascial Radial Forearm Free Flap Reconstruction of Midface Defect After Resection of Intraosseous Hemangioma

Introduction: Intraosseous hemangiomas of the midface are rare with few reported cases in the literature. Various reconstructive methods have been previously described, but none using vascularized bone graft secondary to the benign nature of the tumor and often relatively limited defect size. Clinical Report: The authors present the case of a 47-year-old man with a biopsy proven enlarging right maxillary intraosseous cavernous hemangioma which was resected primarily, resulting in a large defect involving the entire zygomaticomaxillary buttress and a portion of the right orbital floor and malar prominence. Given the structural involvement and the significant bony defect size, this was simultaneously reconstructed using an osteofascial radial forearm free flap and orbital floor titanium implant with satisfactory outcome. Address correspondence and reprint requests to Jeffrey Johnson, MD, Department of Otorhinolaryngology—Head and Neck Surgery, University of Texas Medical School at Houston, 6431 Fannin Street MSB 5.036 Houston, TX 77030; E-mail: jeffrey.johnson@uth.tmc.edu Received 12 November, 2017 Accepted 12 December, 2017 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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