Mandibular reconstruction in head and neck cancer: which is the gold standard?

Molteni, Gabriele; Gazzini, Luca; Sacchetto, Andrea; Nocini, Riccardo; Comini, Lara Valentina; Arietti, Valerio; Locatello, Luca Giovanni; Mannelli, Giuditta

doi:10.1007/s00405-023-08050-5

Eur Arch Otorhinolaryngol

2023

DOI: 10.1007/s00405-023-08050-5

|View full text |Cite

Mandibular reconstruction in head and neck cancer: which is the gold standard?

Gabriele Molteni

Luca Gazzini

Andrea Sacchetto

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

2024

Publication Types

Select...

Article3

Relationship

Self Cite0

Independent3

Authors

Journals

Cited by 3 publications

References 104 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Influence of microvascular mandibular bony reconstruction on the posterior airway space: A retrospective cohort study

Winnand,

Ayoub,

König

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

Influence of microvascular mandibular bony reconstruction on the posterior airway space: A retrospective cohort study

Winnand,

Ayoub,

König

et al. 2024

Journal of Plastic, Reconstructive & Aesthetic Surgery

View full text Add to dashboard Cite

Segmental Mandibulectomy and Mandibular Reconstruction with Fibula-Free Flap Using a 3D Template

Tatti,

Carta,

Bontempi

et al. 2024

JPM

View full text Add to dashboard Cite

Introduction: The present study evaluates the influence of virtual surgical planning with a preoperative 3D resin model on aesthetic and functional outcomes in patients treated by segmental mandibulectomy and reconstruction with fibula-free flap for oral cancer. Methods: All consecutive patients who underwent segmental mandibulectomy and mandibular reconstruction with a fibula-free flap using a 3D template at our department from January 2021 to January 2023 were included in the study. “Patients control” were patients treated by reconstruction with a fibula-free flap without using a 3D template. Three-dimensional modeling was performed by converting from preoperative computed tomography to a stereolithography format to obtain the resin 3D models. Qualitative analysis of anatomical and aesthetic results consisted of the evaluation of the patients’ aesthetic and functional satisfaction and the symmetry of the mandibular contour observed at clinical examination. Quantitative analysis was based on the assessment of the accuracy and precision of the reconstruction by comparing preoperative and postoperative computed tomograms as objective indicators. Results: Seven patients (five males and two females, mean age of 65.1 years) were included in the study. All patients showed a symmetric mandibular contour based on the clinical examination. After recovery, six patients (85.7%) considered themselves aesthetically satisfied. The quantitative analysis (assessed in six/seven patients) showed that the mean difference between preoperative and postoperative intercondylar distance, intergonial angle distance, anteroposterior dimension, and gonial angle improved in the 3D template-assisted group. Conclusion: The 3D-printed template for mandibular reconstruction with microvascular fibula-free flap can improve aesthetic outcomes in comparison with standard approaches.

show abstract

Variability of anterolateral thigh flap perforator locations – clinical implications

Gabryszewski,

Kasielska-Trojan,

Sitek

et al. 2023

Pol Przegl Chir

View full text Add to dashboard Cite

Introduction: The anterolateral thigh flap is an example of a free flap widely applied for reconstruction of tissues within various areas of the body. Aim: The aim of the study was to determine the most common locations of the ALT flap perforators in men and women as well as to clarify any potential differences in the location of the vessel in male vs. female subjects. Material and method: In years 2021–2022, a study was conducted at the Plastic, Reconstructive, and Aesthetic Surgery Clinic in a group of 90 volunteers (45 women and 45 men, a total of 180 lower extremities) to determine the location of the anterolateral thigh flap perforator against the flap surface using a portable Doppler probe. Results: Variable locations were revealed for the anterolateral thigh flap perforator within the study. In women, the perforator is located more distally from the anterior superior iliac spine, most frequently within the inferolateral quadrant, while being located closer to the anterior superior iliac spine, and most frequently within the superolateral quadrant, in men. No perforator was found in 3.3% of the examined limbs. No statistically significant differences were observed between the course of the perforators within the left and right lower limbs in individual patients.Conclusions: The location of the ALT flap perforator is subject to sexual dimorphism, which facilitates the investigation area being narrowed down to the well-defined locations of its most frequent occurrence when planning anterolateral thigh flap reconstructive procedures.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Mandibular reconstruction in head and neck cancer: which is the gold standard?

Cited by 3 publications

References 104 publications

Influence of microvascular mandibular bony reconstruction on the posterior airway space: A retrospective cohort study

Influence of microvascular mandibular bony reconstruction on the posterior airway space: A retrospective cohort study

Segmental Mandibulectomy and Mandibular Reconstruction with Fibula-Free Flap Using a 3D Template

Variability of anterolateral thigh flap perforator locations – clinical implications

Contact Info

Product

Resources

About