Classification of Mandible Defects and Algorithm for Microvascular Reconstruction

Abstract

This novel classification system and treatment algorithm allows for a consistent and reliable method of addressing composite mandibular defects and focuses on recipient vasculature and donor free flap characteristics.

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

“…There were 81 papers (16, 24, 29, 30, 31, 33, 38, 47, 49, 53, 55, 57, 63, 65, 66, 69, 71, 73, 75, 76, 81, 84, 89, 91, 95, 97, 99, 100, 103, 104, 107-109, 111-116, 120, 121, 124, 125, 130, 132-134, 137, 140 145-150, 154, 158, 163, 165, 166, 168, 170-173, 180, 184, 185, 188, 194-197, 202, 203, 205, 210, 212, 221, 222, 229) 98, 101, 106, 110, 110, 117-119, 122, 123, 126-129, 131, 135, 138, 139, 141, 143, 151, 153, 156, 159-161, 164, 167, 169, 179, 182, 183, 187, 190, 192, 193, 199, 200, 204, 206, 207, 209, 212, 214, 216, 218, 220, 223, 225, 227, 228) also reconstructed the condyle, compared with 1.6% (6/373) for the iliac crest (13,15,19,60,77,79,86,87,98,105,155,157,161,177,178,183,201,211,212,227 …”

A case of effective oral rehabilitation after mandibular resection

“…Therefore, if a continuity defect exists in the mandible, some reconstruction is desirable and is essential for maintaining social life . Numerous techniques have been reported for the reconstruction of mandibular defects . The choice of the reconstruction technique to be used depends on whether the reconstruction is to be performed immediately or later, the condition of the recipient site, the amount of bone and soft tissue required, and the length of the defect.…”

Mandibular reconstruction in elderly patients

“…Algorithms for selecting a method for reconstruction of mandibular defects have been proposed by several authors, but they are intended for younger patients and cannot always be applied to the elderly. To the best of our knowledge, no study has focused on mandibular reconstruction in elderly patients.…”