Primary reconstruction of a major loss of lower jaw by an animal bite using a "rib sandwich" pectoralis major island flap

Br J Plast Surg. 1989 Jan;42(1):101-3. doi: 10.1016/s0007-1226(89)90124-0.


A 20 weeks pregnant woman was bitten by a wild bear which took away the central portion of her jaw. A single stage primary reconstruction was performed using a composite pedicled pectoralis major "rib sandwich" island flap. This provided continence of the mouth, allowing her to feed herself within 3 weeks of the operation and to speak reasonably by 6 weeks.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Bites and Stings / surgery*
  • Carnivora*
  • Female
  • Humans
  • Mandible / surgery*
  • Mandibular Injuries / surgery*
  • Pregnancy
  • Pregnancy Complications / surgery
  • Surgical Flaps*
  • Ursidae*