Revascularized Iliac Bone Graft for Mandibular Reconstruction

Fredrickson, John M.; Man, Sy; Hayden, Richard E.

doi:10.3109/00016488509108900

Cited by 14 publications

(2 citation statements)

References 11 publications

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“…[25][26][27][28][30][31][32][33][34][35][36][37][38] Free flaps have several advantages over other reconstructive options: they allow transfer of vital tissue with characteristics of size, composition, and volume to fulfill the reconstructive needs; moreover, free flaps can be shaped to reconstruct properly the tridimensional volume of the defect and, conversely to pedicled flaps, have considerable degrees of freedom because their positioning is not limited by the arc of rotation of the pedicle. [26][27][28]30,[32][33][34][35][36][37][38]45 The autonomous vascular supply of free flaps, furthermore, makes this reconstructive option suitable for reconstruction of unfavorable recipient sites, such as large and complex defects (involving bone and soft tissues), irradiated fields, areas of necrosis/fibrosis secondary to previous surgery, injury, or infection, and provides higher tolerance to infections and to adjuvant treatments (radiochemotherapy).…”

Section: Discussionmentioning

confidence: 99%

Mandibular Reconstruction With Different Techniques

Torroni¹,

Marianetti²,

Romandini

et al. 2015

Journal of Craniofacial Surgery

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Traumas, malformative or dysplastic pathologies, atrophy, osteoradionecrosis, and benign or malignant neoplasm can cause bone deficits in the mandible. Consequent mandibular defects can determine aesthetic and functional problems; therefore, being able to perform a good reconstruction is of critical importance.Several techniques have been proposed for mandibular reconstruction over the years. In this article, we present and discuss the evolution during the time of the methods of mandible reconstruction as well as pros and cons of each procedure on the basis of experience of 10 years in the maxillofacial department of the Catholic University of Sacred Heart of Rome.Free flaps represent the gold standard method of reconstruction of large mandibular defects: the fibula bone flap represents the best choice for large defects involving the arch and the mandibular ramus, whereas the deep circumflex iliac artery represents a valid alternative for mandibular defects involving the posterior region.In cases where free flap reconstructions are contraindicated, the use of regional pedicle flap combined with autologous bone grafts still represents a valid choice. Patients who are not deemed suitable for long and demanding surgery can still be treated using alloplastic materials in association with regional pedicle flap or, when adjuvant radiation therapy is needed, by simple locoregional pedicle flap. Finally, in selected cases, the bone transporting technique should be considered as a valid alternative to the more "traditional" reconstructive methods because of the extraordinary potential and its favorable cost-benefit ratio.

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Section: Discussionmentioning

confidence: 99%

Mandibular Reconstruction With Different Techniques

Torroni¹,

Marianetti²,

Romandini

et al. 2015

Journal of Craniofacial Surgery

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“…This could interfere with needle advancement during USG‐FNB. A DCIA with an external diameter of about 3 mm at its origin (Taylor et al, ; Fredrickson et al, ; Yaginuma et al, ; Shimizu et al, ) located around the inguinal ligament and heading toward the ipsilateral ASIS in a straight configuration (Fig. ) can be visualized during USG‐FNB using the in‐plane lateral to medial approach as a linear hypoechoic structure between the fascia iliaca and fascia lata.…”

Section: Discussionmentioning

confidence: 99%

Deep and superficial circumflex iliac arteries and their relationship to the ultrasound‐guided femoral nerve block procedure: A cadaver study

et al. 2017

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The in-plane lateral to medial approach is a standard technique for ultrasound-guided femoral nerve block (USG-FNB). The first bifurcation of the femoral artery, which consists of the deep artery of the thigh (DAT) or occasionally the lateral circumflex femoral artery (LCFA), is regarded as the distal border for this procedure. We sometimes detect arteries along the estimated needle trajectory for USG-FNB. The superficial (SCIA) and deep (DCIA) circumflex iliac arteries run laterally parallel to the inguinal ligament from the femoral or external iliac artery. The relationship between the SCIA and DCIA and other anatomical structures related to USG-FNB around the femoral triangle region was studied by gross anatomical examination of 100 formalin-fixed adult cadavers. At least one SCIA and one DCIA were identified around each femoral triangle; 81.8% of SCIA and 58% of DCIA originated from the femoral artery. All DCIA coursed between the fascia lata and fascia iliaca and 80% of SCIA penetrated the fascia lata. In 94% of femoral triangles, at least one arterial branch heading towards the lateral part of the thigh originated from the femoral artery from the level of the inguinal ligament to the first bifurcation of the femoral artery. The presence of SCIA and DCIA should be considered during USG-FNB using the in-plane lateral to medial approach to avoid inadvertently injuring them, as they are occasionally located along the presumed needle trajectory superficial to the fascia iliaca. Clin. Anat. 30:413-420, 2017. © 2017 Wiley Periodicals, Inc.

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Composite Free Flaps in Oromandibular Reconstruction: Review of the Literature

Urken¹

1991

Archives of Otolaryngology - Head and Neck Surgery

216

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Revascularized Iliac Bone Graft for Mandibular Reconstruction

Cited by 14 publications

References 11 publications

Mandibular Reconstruction With Different Techniques

Mandibular Reconstruction With Different Techniques

Deep and superficial circumflex iliac arteries and their relationship to the ultrasound‐guided femoral nerve block procedure: A cadaver study

Composite Free Flaps in Oromandibular Reconstruction: Review of the Literature

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