Reconstruction of the Mandible

Alonso, Miguel R.; Bailey, Byron J.

doi:10.1016/s0030-6665(20)32969-8

Cited by 12 publications

(2 citation statements)

References 15 publications

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“…Recurrence, poor nutrition, and radiation all contribute to soft tissue failure. The lack of a relationship between the type of plate and complication rates found in this study has been previously observed 13 . It is clear that free flaps have been the answer to minimization of serious wound complications that result in plate exposure.…”

Section: Discussionsupporting

confidence: 44%

“…The lack of a relationship between the type of plate and complication rates found in this study has been previously observed. 13 It is clear that free flaps have been the answer to minimization of serious wound complications that result in plate exposure. Although they do not appear to decrease the number of wound complications, the severity of complications is minimized.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Klotch

Gal

1999

Otolaryngol.--head neck surg.

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Reconstruction of mandibular defects with a variety of alloplastic materials during a 22-year period was reviewed. Outcomes were examined to determine whether specific plating technology affected the incidence of plate-related complications including plate exposure, plate fracture, and plate removal. Repair with the miniplate, reconstruction plate, titanium hollow screw reconstruction plate, and locking reconstruction plate was evaluated. Although the incidence of plate fractures has decreased, there was no significant change in the rate of plate exposure. Recurrent disease was noted to be a significant contributing factor in the development of plate-related complications.

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Section: Discussionsupporting

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Klotch

Gal

1999

Otolaryngol.--head neck surg.

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Mandibular Reconstruction Using Implantable Stabilization Plates

Strelzow¹

1983

Archives of Otolaryngology - Head and Neck Surgery

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\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.

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Primary Mandibular Reconstruction: Analysis of 64 Cases and Evaluation of Interface Radiation Dosimetry on Bridging Plates

Gullane

1991

The Laryngoscope

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The combination of a myocutaneous flap or free cutaneous tissue transfer with a three‐dimensional bendable reconstruction plate either of stainless steel or titanium has provided very satisfactory results in primary restoration of mandibular defects following surgical resections in irradiated patients or in those who require postoperative radiotherapy. Sixty‐four cases have been treated and evaluated prospectively using this technique. Fifty‐three of the patients had the soft‐tissue defect restored with a myocutaneous flap, 8 had a free cutaneous tissue flap, 2 were reconstructed with tongue flaps, and 1 closed primarily. The stainless steel plate of the A.O. type was used in 53 cases and the titanium plate system and hollow screws in the other 11 cases. A success rate of 78.9% was found with a median follow‐up of 384 days. Thirty of the 64 cases had preoperative irradiation and 15 were treated postoperatively. A plate failure rate of 23% was encountered in those treated with preoperative irradiation and in 20% with those having postoperative irradiation. Forty‐nine of the 64 patients or 76.5% experienced no perioperative complications. Five or 7.8% of the complications were minor. Ten patients or 15.6% experienced a major complication with one death due to a myocardial infarct. A radiation dosimetric model was employed using both stainless steel and titanium. The results from this study showed that, when using a parallel pair of beams, an excess dose of irradiation for the lowest energy cobalt‐60 is 13%, for 6 mV it is 15%, and for 18 mV it is 20%. The excess tissue dose, both for stainless steel and titanium plates, extends for about 0.2 mm for cobalt‐60, 1.1 mm at 6 mV, and for 25 mm at 18 mV. Patients with plates, therefore, can be treated safely with postoperative irradiation using either cobalt‐60 or 6‐mV energy.

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Reconstruction of the Mandible

Cited by 12 publications

References 15 publications

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Assessment of Plate Use for Mandibular Reconstruction: Has Changing Technology Made a Difference?

Mandibular Reconstruction Using Implantable Stabilization Plates

Primary Mandibular Reconstruction: Analysis of 64 Cases and Evaluation of Interface Radiation Dosimetry on Bridging Plates

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