Re: Reconstruction of bony mandibular and maxillary defects with one single transfer of a free fibula osteocutaneous flap

Trost, O.; Duvernay, A.; Parmentier, Jan; Malka, G.

doi:10.1016/j.bjps.2008.03.055

Journal of Plastic, Reconstructive & Aesthetic Surgery

2008

DOI: 10.1016/j.bjps.2008.03.055

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Re: Reconstruction of bony mandibular and maxillary defects with one single transfer of a free fibula osteocutaneous flap

O. Trost

A. Duvernay

Jan Parmentier

et al.

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“…6 Reconstruction of the mandible necessitates two basic components: An autogenous bone graft source and a stable method of graft stabilization. 7,8 Large reconstruction plates (2.0 mm to 3.5 mm in thickness) of varying metal compositions (epescially the titanium made plates) and malleability are one of the most popular methods of stabilizing the mandibular segments and securing the bone graft, while the created defects may require bony restoration, soft tissue replacement, or both. 9,10 The evolution of internal fixation was aided by the discovery of biocompatible materials that resisted corrosion, such as vitallium and titanium.…”

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confidence: 99%

Assessment of the use of reconstructive plate in management of mandibular defects

El-Taher

El-Hilaly

El-Mekkawy

et al. 2009

Ain Shams Journal of Surgery

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Introduction:Mandible reconstruction is both a functional and aesthetic procedure. The mandible is involved in mastication, speech, appearance, expression, and sensation. So the goals of mandibular reconstruction are to achieve primary wound healing, early functional oral rehabilitation, and restoration of the patient's body image. Reconstruction of the mandible, particularly the segmental defect, has historically been one of the most difficult challenges faced by plastic surgeons. 1,2 Mandibular reconstruction may be indicated for defects from oncologic resection and traumatic injuries. The evolution of microsurgery has completely changed our expectations and approach to mandible reconstruction. Improvement in microsurgical techniques, refinement of composite tissue donor sites, use of rigid fixation systems, and osteointegrated dental implants has revolutionized reconstruction of oromandibular defects. Functional and aesthetic rehabilitation of the mandibulectomy patient is now possible in nearly all cases. 3

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