Long term results of reconstruction plates in lateral mandibular defectsRevision of nine cases

Arias-Gallo, Javier; Maremonti, P; González-Otero, Teresa; Gómez-Garcı́a, Elena; Burgueño-Garcı́a, Miguel; Pons, Manuel Chamorro; Martorell-Martínez, V.

doi:10.1016/j.anl.2003.09.006

Cited by 32 publications

(19 citation statements)

References 33 publications

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“…According to the literature, plate fractures occur in 2.9e10.7% of cases (Boyd et al, 1995;Arias-Gallo et al, 2004;Lopez et al, 2004). In general, plate fractures are more common among patients with type C defects, but the results of the present study showed that all fractures were in patients with type LC defects in the region of the mandibular angle.…”

Section: Discussioncontrasting

confidence: 68%

“…The sufficient mass of the LD free flap provides more than adequate coverage of the maxillofacial defect allowing for reduced risk radiotherapy. Although the application of the reconstruction plate is generally for temporary use before permanent reconstruction with autogenous bone (Arias-Gallo et al, 2004), its use reduces donor site morbidity and the likelihood that an additional operation will be required (Jones et al, 1996).…”

Section: Introductionmentioning

confidence: 99%

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Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Jung

Choi

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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Section: Discussioncontrasting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Jung

Choi

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…As a result, the orocervical fistula enlarged, which eventually dislodged the reconstruction plate. Usually, musculocutaneous flaps, which reduce suture tension and dead space, minimize the occurrence of orocervical fistulas that are associated with these problems [15]. However, heavy pedicles or poor blood flow at the tip of the flap can lead to poor outcomes [16].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study

Sakakibara

Hashikawa

Yokoo

et al. 2014

Plastic Surgery International

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Background. Postresective mandibular reconstruction is common in cases of oral and mandibular tumors. However, complications such as infection, plate exposure, or plate fracture can occur. We identified several significant risk factors of complications after reconstructive surgery and compared the effectiveness of different surgical techniques for reducing the incidence of complications. Methods. This study is a retrospective analysis of 28 oromandibular cancer cases that required reconstructive surgery between January 1999 and December 2011 at Kobe University Graduate School of Medicine in Japan. All cases were classified using Hashikawa's CAT and Eichner's classification methods. Then, we determined whether these classifications and different treatment or surgical methods were significantly related to complications. Results. Complications after mandibular reconstruction occurred in 10/28 patients (36%). Specifically, five patients had plate fractures, four had plate exposures, and one had an infection. Radiation therapy and closure without any flaps were significantly related to infection or plate exposure. The wrap-around technique of securing reconstruction plates was used in 14 cases, whereas the run-through technique was used in two cases. Conclusions. The success of mandibular reconstruction depends on both mechanical and biological factors, such as the location of defects, presence of occlusions, and the amount of vascularization of the flap.

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“…A bridging reconstruction plate (2.4 mm or greater profile) without actual replacement of bone, in combination with a regional myocutaneous flap or with collapse of the surrounding soft tissues has been used as a quick and effective measure in lateral defects to reestablish bicondylar joint function and optimize chewing function. [5,6] But again this has a limited role in postcancer reconstructions since they do not stand adjuvant treatments namely radiation. But they may have a limited role in the patients otherwise unsuitable for complex reconstructions.…”

Section: Cmyk29mentioning

confidence: 99%

18 Reconstruction of the Mandible

Werning¹

2007

Oral Cancer: Diagnosis, Management, and Rehabilitation

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Segmental mandibulectomy leads to a great deÞ cit in the form and function of the patient. Vascularised bone ß aps have become the choice of the method of reconstruction of the mandible in an oncologic setting. Fibula osseous or oseteocutaneous ß aps have become the favored method in centers across the world. This article reviews certain pertinent and practical points with regards to Þ bula ß ap reconstruction of the mandible. Methods of osteosynthesis, merits of inclusion of the FHL muscle in the ß ap and use of osteointegrated implants are discussed in detail. The reader will also be able at the end to understand the role of pre operative vascular imaging, steps taken when there is an irreversible ß ap failure and steps to maintain and rehabilitate occlusion as practiced in the author's service. KEY WORDS Fibula ß ap, mandibular reconstructionFree full text on www.ijps.org

show abstract

Long term results of reconstruction plates in lateral mandibular defectsRevision of nine cases

Cited by 32 publications

References 33 publications

Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Latissimus dorsi (LD) free flap and reconstruction plate used for extensive maxillo-mandibular reconstruction after tumour ablation

Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study

18 Reconstruction of the Mandible

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