Microsurgical reconstruction of the mandible part I: experience of 218 cases and surgical outcomes

Zenha, Horácio; Azevedo, Marta; Vieira, R.; Lanzaro, Larissa; Costa, Horácio

doi:10.1007/s00238-022-02017-1

Cited by 2 publications

(3 citation statements)

References 40 publications

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“…Concerning the donor site, there was acceptable morbidity, a common occurrence with this flap. This manifested as a linear scar and minimal functional disability, primarily involving some discomfort in ankle function and range of movement during more strenuous physical exertion [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Free vascularized bone flaps have demonstrated faster healing and greater reliability, especially in instances involving contamination of the recipient site wound [10]. Additionally, these flaps possess a clearly defined vascular supply, enabling multiple osteotomies, a particularly crucial aspect in craniofacial contouring procedures, as well as allowing future oral rehabilitation with implants [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…The proposed approach entailed the resection of the infected mandibular bone followed by immediate reconstruction using a fibula-free flap. The patient provided consent for the procedure, and a right segmental mandibulectomy was performed, resulting in a class II bone defect as per the Zenha H et al classification [8]. Simultaneously, fistulectomy of the submandibular cutaneous fistula was carried out using a submandibular approach (Figure 2).…”

Section: Case Presentationmentioning

confidence: 99%

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Surgical Management of Severe Mandibular Actinomycosis: Segmental Mandibulectomy and Fibula Free Flap for Optimal Outcomes

Leite,

Chaves,

Morgado

et al. 2024

Cureus

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Actinomycosis is a chronic, suppurative, granulomatous bacterial infection primarily associated with Actinomyces israelii . The condition can be categorized into three distinct clinical types based on the affected anatomical region: cervicofacial, pulmonary, or abdominopelvic actinomycosis. The standard treatment for actinomycosis involves antibiotic therapy, with an empiric penicillin regimen as the first-line approach. Surgical interventions comprise curettage of the affected bone, resection of necrotic tissues, excision of existing sinus tracts, and drainage of abscesses. These procedures are considered a last resort for cases of actinomycosis unresponsive to antibiotic therapy. In this context, we present a case of severely unresponsive actinomycosis that necessitated aggressive surgical resection of the infected mandibular bone, followed by immediate reconstruction using a fibula-free flap. The outcome yielded both favorable functional and aesthetic results.

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Section: Discussionmentioning

confidence: 99%