A Total Mandibular Plate to Bridge Large Defects of the Mandible

Schmoker, R; Spiessl, Bernd; Mathys, R.

doi:10.1007/978-3-642-66484-7_22

Cited by 9 publications

(5 citation statements)

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“…The first acceptable plate designed for the reconstruction of the mandibular defects was the AO/ASIF stainless-steel reconstruction plate 4 . This system, which simplified the application and stabilization process when compared with the existing K-wire 5 and mandibular tray techniques, 6 allowed for reproducibility of results, and an accelerated education cycle in the teaching of plating techniques led to an avalanche of experience with the use of these devices.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Klotch

Gal

1999

Otolaryngol.--head neck surg.

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Reconstruction of mandibular defects with a variety of alloplastic materials during a 22-year period was reviewed. Outcomes were examined to determine whether specific plating technology affected the incidence of plate-related complications including plate exposure, plate fracture, and plate removal. Repair with the miniplate, reconstruction plate, titanium hollow screw reconstruction plate, and locking reconstruction plate was evaluated. Although the incidence of plate fractures has decreased, there was no significant change in the rate of plate exposure. Recurrent disease was noted to be a significant contributing factor in the development of plate-related complications.

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Section: Discussionmentioning

confidence: 99%

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Klotch

Gal

1999

Otolaryngol.--head neck surg.

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“…However, this method has been used as a standard method in reconstruction of mandible from 1980. 7–9 Now titanium reconstruction plates with special locking screws provide excellent anchorage and rigid fixation. 15,16…”

Section: Introductionmentioning

confidence: 99%

“…However, this method has been used as a standard method in reconstruction of mandible from 1980. [7][8][9] Now titanium reconstruction plates with special locking screws provide excellent anchorage and rigid fixation. 15,16 Microsurgical techniques, virtual surgical planning (VSP), CAD-CAM (computer-aided design/computer-aided manufacturing) technology, intraoperative dynamic navigation are some methods used to improve the efficiency of reconstructive surgeries based on use of the plates.…”

Section: Introductionmentioning

confidence: 99%

The comparison between various methods of mandibular reconstruction based on finite element analysis

Parvan,

Khaghaninejad,

Karimi

2024

Proc Inst Mech Eng H

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The Mandible can be damaged by pathological factors, tumors, trauma, infection, and needs a surgical operation for reconstruction and restoring function. There are different methods for the reconstruction of mandible. Based on the surgical approach, primary reconstruction of mandible by reconstruction plate after resection is necessary for maintaining mandibular symmetric and esthetic of the lower third of the face. A finite element model of mandible and masticatory muscles was produced from a normal person (male with 35-year-old). The normal model was resected from the left sixth tooth to the second tooth. The pathological model was reconstructed in different conditions by macro plate. Different conditions were analyzed and compared based on bite force on right fifth tooth, stress developed on screws and macro plate. The finite element analysis results showed that maximum bite force and lower stress on screws were seen in the pathological model (condition 5) when one macro plate and six screws were inserted in the mid-body. The findings showed that the use of two macro plates causes lower stress on it than when we use one. Use of one macro plate and six screws is the best choice in mandibular immobilization which decrease the stress applied on bone and increase the bite force. Because of less stress developed on macro plates and screws, use of two macro plates or one macro plate in mid-body area are also preferred.

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“…The first generation of clinically available reconstruction plates was introduced in the mid-1970s 2 . Since the early 1980s, the standard treatment for a mandibular discontinuity defect has been the use of a rigid reconstruction plate with concurrent or subsequent osseous reconstruction 3 .…”

Section: Introductionmentioning

confidence: 99%

Reconstruction plates used in the surgery for mandibular discontinuity defect

Seol

Jeon

Lee

et al. 2014

J Korean Assoc Oral Maxillofac Surg

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ObjectivesThe purpose of this study was to analyze the survival rate of reconstruction plates that were used to correct mandibular discontinuity defects.Materials and MethodsWe analyzed clinical and radiological data of 36 patients. Only discontinuous mandibular defect cases were included in the study. Reconstruction plate survival rate was analyzed according to age, gender, location of defect, defect size, and whether the patient underwent a bone graft procedure, coronoidectomy, and/or postoperative radiation therapy (RT).ResultsPlate-related complications developed in 8 patients, 7 of which underwent plate removal. No significant differences were found in plate survival rate according to age, gender, location of defect, defect size, or whether a bone graft procedure was performed. However, there were differences in the plate survival rate that depended on whether the patient underwent coronoidectomy or postoperative RT. In the early stages (9.25±5.10 months), plate fracture was the most common complication, but in the later stages (35.75±17.00 months), screw loosening was the most common complication.ConclusionIt is important to establish the time-related risk of complications such as plate fracture or screw loosening. Coronoidectomy should be considered in most cases to prevent complications. Postoperative RT can affect the survival rate and hazard rate after a reconstruction plate is fitted.

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A Total Mandibular Plate to Bridge Large Defects of the Mandible

Cited by 9 publications

References 0 publications

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

The comparison between various methods of mandibular reconstruction based on finite element analysis

Reconstruction plates used in the surgery for mandibular discontinuity defect

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