Mandibular Reconstruction Using Implantable Stabilization Plates

Abstract

\s=b\The consequences of substantial mandibular loss usually are disturbances in mastication and often in cosmesis. In an attempt to arrive at an easy and reliable technique of reconstructing mandibular defects, a selected group of patients were treated using rigid, implantable reconstruction plates. These were used to provide continuity and stability for the residual mandible with or without the use of graft materials. These have included autogenous fresh, irradiated, or frozen bone, and polytetrafluoroethylene carbon fiber sponge (Proplast). A discussion of the principles and technique of using reconstruction plates is outlined. (Arch Otolaryngol 1983;109:333-337) The surgical resection of large tumors of the mouth or oropharynx often requires therapeutic deci¬ sions on the potential involvement and, therefore, management of the adjacent mandible. These lesions are usually squamous carcinomas of the anterior floor of mouth, the lateral part of the tongue, tonsil-posterior tongue-soft palate region, or lesions of the retromolar trigone area. Most frequently, local segmental resections are carried out to ensure the obtain¬ ing of an en bloc resection of the primary site along with the ipsilateral neck contents. Often, the mandibular component of the composite resection, even if free of disease, is not replaced in order to help obliterate the dead space and to facilitate primary clo¬ sure.