Reconstruction of Mandibular Defects With Revascularized Free Rib Grafts

Harashina, Takao; Nakajima, Hideo; Imai, Tatsuro

doi:10.1097/00006534-197810000-00003

Cited by 54 publications

(9 citation statements)

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“…They have been recommended especially when conditions for healing of non-revascularized grafts are disadvantageous, for example in a poorly vascularized bed after radiation treatment [9,18,19]. Correspondingly, in the present study less complications were observed in revascularized grafts than in non-revascularized grafts, although in the former recipient areas had been irradiated more often before.…”

Section: Discussionsupporting

confidence: 60%

Bone scintigraphy in the evaluation of bone grafts used for mandibular reconstruction

et al. 1994

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Bone scintigraphy was applied in the follow-up of 24 patients who received bone grafts for reconstruction of the mandible after partial resection. Semiquantitative assessment of the grafts was done with a six-grade scoring system, based on comparison of tracer uptake in the graft and in the calvarium (as an internal control). Sixty-nine bone scans were evaluated. Late planar imaging was carried out in all cases, and single-photon emission tomography (SPET) was performed additionally in 34 of these cases. Complications were observed in four grafts. They occurred less frequently in revascularized grafts than in non-revascularized grafts. Planar scintigrams performed within 14 days after reconstruction showed a significantly higher tracer uptake in grafts with an uncomplicated further course than in those which developed complications. Follow-up scintigrams after 1 and 3 months revealed a significant increase in tracer uptake in grafts with an uncomplicated course. This was not apparent in grafts which developed complications. The tracer uptake was estimated to be higher on the basis of the SPET scans as compared with the planar scintigrams. It is concluded that bone scintigraphy is of prognostic value in the evaluation of bone grafts used for mandibular reconstruction. SPET seems to be more sensitive than planar imaging for the assessment of graft viability.

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Section: Discussionsupporting

confidence: 60%

Bone scintigraphy in the evaluation of bone grafts used for mandibular reconstruction

et al. 1994

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“…Because of the high success rate (up to 96%) [20] of microvascular free tissue transfer and the need for composite restoration, osseomyocutaneous free flaps were considered. These included fibula [4,5,16], radius [14,22], iliac crest [11,17], scapula [1,15,18], and LSRF [1,2,3,8,9]. The fibula provides long cortical bone and thin, pliable skin, and is the elective choice for mandibular reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…The latter have revolutionised head and neck surgery and are currently considered the most successful and reliable methods of primary oromandibular reconstruction, with a success rate of 96% [20]. The bone transferred has included fibula [4,5,16], clavicle [6], iliac crest [11,17], scapula [1,15,18], radius [14,22], humerus [20], ulna [7], and rib [2,3,8,9,13] for mandibular reconstruction. We have performed 45 composite osteocutaneous free flaps in head and neck reconstruction over the past 7 years.…”

Section: Introductionmentioning

confidence: 99%

Free composite osseomyocutaneous flap of latissimus dorsi, serratus anterior and rib for oromandibular reconstruction

et al. 2000

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A wide variety of osseomyocutaneous free flaps for mandibular reconstruction has been described. The flap made up of latissimus dorsi, serratus anterior and rib (LSRF), , can provide vascularized skin, muscle, bone and cartilage on a single thoracodorsal vascular pedicle and is useful in some circumstances, i.e., large soft tissues defects. In this paper, we describe two cases in which the flap was chosen for reconstruction of the mandible, cheek and intraoral mucosa, following major ablation of malignant tumours. In our experience, this flap is excellent for soft tissue repair and fulfils the basic requirements of bony restoration. Moreover, the donor site morbidity is minimal and its dissection is rather easy. The LSRF may be the first choice in certain reconstructive circumstances.

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“…1,2 Vascularized rib was one of the earliest donor sites reported. 3,4 Since then a variety of other donor sites have been used, including ilium, radius, metatarsal, scapula, and fibula. Each of these donor sites has significant limitations resulting from either length of available bone, the reliability of the associated soft tissue, or donor-site considerations such as undesirable location or the potential for significant morbidity.…”

Section: Introductionmentioning

confidence: 99%

Mandibular Reconstruction With Vascularized Fibula Flap and Osseointegrated Implants: A Clinical Report

Khatami

Toljanic

Kleinman

2010

Journal of Oral Implantology

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Primary and secondary reconstruction of mandibular discontinuity defects with vascularized flap is currently the standard of care in many institutions. The most commonly used donor site for such flaps is fibula. Fibula provides enough bone length, allows 2-team approach, and has low donor site morbidity and abundant periosteal blood supply. The placement of endosseous implants in the vascularized fibula flap also facilitates functional dental rehabilitation. This clinical report describes the prosthetic rehabilitation and the complications of 2 mandibular discontinuity defects treated with vascularized fibula flap and implant-supported fixed prosthesis.

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Reconstruction of Mandibular Defects With Revascularized Free Rib Grafts

Cited by 54 publications

References 0 publications

Bone scintigraphy in the evaluation of bone grafts used for mandibular reconstruction

Bone scintigraphy in the evaluation of bone grafts used for mandibular reconstruction

Free composite osseomyocutaneous flap of latissimus dorsi, serratus anterior and rib for oromandibular reconstruction

Mandibular Reconstruction With Vascularized Fibula Flap and Osseointegrated Implants: A Clinical Report

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