Orofacial and Mandibular Reconstruction with the Iliac Crest Free Flap

Jewer, David D; Boyd, J. Brian; Manktelow, Ralph T.; Zuker, R M; Rosen, Irving B.; Gullane, Pat; Rotstein, Lorne; Freeman, John F.

doi:10.1097/00006534-198909000-00001

Cited by 379 publications

(101 citation statements)

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“…9 The bones were taken from different cadavers, and the mandibles and grafts were distributed randomly. Each of the 3 test groups was subdivided into 3 subgroups of 6 mandibles each in which 3 different plate systems for osteosynthesis (2 parallel lines of monocortical, 6-hole, conventional titanium miniplates 1.0 mm thick; 2 parallel lines of monocortical, 6-hole, titanium locking Plates 1.3 mm thick; or a single, bicortical, 4-hole, titanium locking Plate 1.5 mm thick/osteotomy gap).…”

Section: Specimens Of Bonementioning

confidence: 99%

“…3,4,6 However, in some cases, such as segmental mandibulectomy or hemimandibulectomy, the iliac crest flap with the deep circumflex iliac artery (DCIA) as its vascular pedicle is thought to be superior to the fibular flap, as its natural curvature better mimics the shape of the mandible, and it sometimes even supersedes the need for osteotomy. [7][8][9] As Sanders and Mayou showed, a corresponding skin layer supplied by the myocutaneous vessels of the DCIA can be harvested in addition to the bony segment, which allows both extraoral and intraoral reconstruction 1,10,11 Because so much bone is available, osseointegrated dental implants can successfully be inserted so that the patient can chew satisfactorily. 1,9 Compared with the fibular and the iliac crest flaps, the scapular flap is the third choice for mandibular reconstruction.…”

Section: Introductionmentioning

confidence: 99%

“…[7][8][9] As Sanders and Mayou showed, a corresponding skin layer supplied by the myocutaneous vessels of the DCIA can be harvested in addition to the bony segment, which allows both extraoral and intraoral reconstruction 1,10,11 Because so much bone is available, osseointegrated dental implants can successfully be inserted so that the patient can chew satisfactorily. 1,9 Compared with the fibular and the iliac crest flaps, the scapular flap is the third choice for mandibular reconstruction. 12 However, its suitability for extensive composite resection has been questioned.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Biomechanical loading test on reconstructed mandibles with fibular, iliac crest or scapula graft: a comparative study

Grohmann

Raith

Mücke

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Section: Specimens Of Bonementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biomechanical loading test on reconstructed mandibles with fibular, iliac crest or scapula graft: a comparative study

Grohmann

Raith

Mücke

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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“…Hemimandibular defects are easily replaced by incorporating the anterior edge of the ilium. 63 No other site in the body can supply as much bone, and the inconspicuous donor-site scar is also advantageous. Conversely, the soft-tissue attachment is often excessively bulky, and the associated vasculature can occasionally prove unreliable.…”

Section: Iliummentioning

confidence: 99%

Choice of osseous and osteocutaneous flaps for mandibular reconstruction

et al. 2005

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Microvascular free flap transfer currently represents one of the most popular methods for mandibular reconstruction. With the various free flap options now available, there is a general consensus that no single kind of osseous or osteocutaneous flap can resolve the entire spectrum of mandibular defects. A suitable flap, therefore, should be selected according to the specific type of bone and soft tissue defect. We have developed an algorithm for mandibular reconstruction, in which the bony defect is termed as either "lateral" or "anterior" and the soft-tissue defect is classified as "none," "skin or mucosal," or "through-and-through." For proper flap selection, the bony defect condition should be considered first, followed by the soft-tissue defect condition. When the bony defect is "lateral" and the soft tissue is not defective, the ilium is the best choice. When the bony defect is "lateral" and a small "skin or mucosal" soft-tissue defect is present, the fibula represents the optimal choice. When the bony defect is "lateral" and an extensive "skin or mucosal" or "through-and-through" soft-tissue defect exists, the scapula should be selected. When the bony defect is "anterior," the fibula should always be selected. However, when an "anterior" bone defect also displays an "extensive" or "through-and-through" soft-tissue defect, the fibula should be used with other soft-tissue flaps. Flaps such as a forearm flap, anterior thigh flap, or rectus abdominis musculocutaneous flap are suitable, depending on the size of the soft-tissue defect.

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“…Erstmals wurde eine Transplantation von autogenem Knochen zur Rekonstruktion des Unterkiefers 1900 von Sykoff durchgeführt [16]. Seit den 80er-Jahren wird zunehmend die primäre Rekonstruktion mit mikrovaskulär anastomosiertem Knochentransplantat angestrebt [4,6,7]. Ein anderer Weg der Rekonstruktion ist die Verwendung einer Überbrückungsplatte mit sekundärer knöcherner Rekonstruktion.…”

Section: Introductionunclassified

Die zweizeitige Unterkieferrekonstruktion mit einer 2,7-mm-Überbrückungsplatte

Dannemann

Abu-Id

Kreusch

2007

Mund Kiefer GesichtsChir

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The two-phase reconstruction of the mandible with a 2.7-mm-Martin-reconstruction-plate creates a tumor free period that is followed by bone grafting to the embedded plate. We have treated 61 patients following this pattern from 2000 to 2005, follow-up was done in 56. 14 patients had received radiotherapy of 70 Gy. 43 plates healed in without any complications. Until 2005 bone grafting had been performed in 18 patients, in ten patients the plate had been removed.

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Orofacial and Mandibular Reconstruction with the Iliac Crest Free Flap

Cited by 379 publications

References 0 publications

Biomechanical loading test on reconstructed mandibles with fibular, iliac crest or scapula graft: a comparative study

Biomechanical loading test on reconstructed mandibles with fibular, iliac crest or scapula graft: a comparative study

Choice of osseous and osteocutaneous flaps for mandibular reconstruction

Die zweizeitige Unterkieferrekonstruktion mit einer 2,7-mm-Überbrückungsplatte

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