A case report reveals trismus linked to heterotopic ossification in a pediatric maxillary reconstruction, suggesting the need for ongoing monitoring.
We present the case of a 13-year-old boy who developed heterotopic ossification along the pedicle of a fibula osteocutaneous free flap used for complex midface reconstruction following a ballistic injury. While rare in pediatric patients, this complication resulted in severe trismus, which required surgical excision of the pedicle. This case highlights the importance of long-term surveillance and periosteal management strategies in children undergoing fibula flap reconstruction of the maxilla.
No takes yet. Share an insight, caveat, or question.
Karkoutli et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:
More from Journal of Surgical Case Reports