Scope and limitations of methods of mandibular reconstruction: a long-term follow-up

Maurer, P.; Eckert, Alexander W.; Kriwalsky, M.S.; Schubert, Johannes

doi:10.1016/j.bjoms.2009.07.005

Cited by 123 publications

(99 citation statements)

References 20 publications

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“…1,2 In one study, preoperative radiotherapy was an independent adverse factor, 3 but we found that only postoperative radiotherapy had an adverse effect, which could explain the differences in outcome between the 2 studies. Earlier studies indicated that reconstruction with a free vascularised bone flap was superior to reconstruction with a free vascularised fasciocutaneous flap together with a reconstruction plate, 4-8 but we found no correlation between treatment and survival of the plate, which might be the result of selection bias; if patients were not fit enough to have free vascularised bone flaps, soft tissue free vascularised fasciocutaneous reconstruction together with a reconstruction plate was done.…”

Section: Discussionmentioning

confidence: 71%

“…Reported complications with plates are loosening of the osteosynthesis screws, fractures of the plate, and intraoral or extraoral exposure or infection with rates of complications that range from 28% to 39%. 1,2 In the department of Oral Maxillofacial Surgery of the University Medical Centre Utrecht, Martin 2.7 reconstruction plates are used for bridging mandibular defects with or without a vascularised free (bone) flap.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates

Rijt

Noorlag

Koole

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates

Rijt

Noorlag

Koole

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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“…13 Several studies have reported that failure of a graft is associated with smoking. 8,14 However, whether smoking influences the development of complications and the success rate may depend on the volume of the autogenous bone graft. Another potential explanation for this lack of association may be the multistage approach, which compensates for any bony resorption after the first reconstructive procedure.…”

Section: Bacteria Isolatedmentioning

confidence: 99%

Reconstruction of residual mandibular defects by iliac crest bone graft in war-wounded Iraqi civilians, 2006–2011

Guerrier¹,

Alaqeeli²,

Jawadi³

et al. 2015

British Journal of Oral and Maxillofacial Surgery

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Our aim was to assess the long-term results, complications, and factors associated with failure of mandibular reconstructions among wounded Iraqi civilians with mandibular defects. Success was measured by the quality of bony union, and assessed radiographically and by physical examination. Failures were defined as loss of most or all of the bone graft, or inability to control infection. During the 6-year period (2006)(2007)(2008)(2009)(2010)(2011), 35 Iraqi patients (30 men and 5 women, mean age 33 years, range 15-57) had residual mandibular defects reconstructed by iliac crest bone grafts. The causes were bullets (n = 29), blasts (n = 3), and shrapnel (n = 3). The size of the defect was more than 5 cm in 19 cases. Along the mandible the defect was lateral (n = 14), central/lateral (n = 5), lateral/central/lateral in continuity (n = 6), and central in continuity (n = 10). The mean time from injury to operation was 548 days (range 45-3814). All but 2 patients had infected lesions on admission. Bony fixation was ensured by locking reconstruction plates (n = 27), non-locking reconstruction plates (n = 6), and miniplates (n = 2). Complications were associated with the reconstruction plate in 2 cases, and donor-site morbidity in 5. After a mean follow-up of 17 months (range 6-54), bony union was achieved in 28 (80%). The quality of the bone was adequate for dental implants in 23 cases (66%). Our results suggest that war-related mandibular defects can be reconstructed with non-vascularised bone grafts by multistage procedures with good results, provided that the soft tissues are in good condition, infection is controlled, and the method of fixation is appropriate. Further studies are needed to assess the role of vascularised free flaps in similar conditions.

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“…Pelat rekonstruksi mandibula dan sekrup merupakan alat aloplastik yang paling banyak digunakan untuk rekonstruksi mandibula (Clement dkk., 1997;Maurer, 2010).Logam yang paling banyak digunakan untuk pembuatan pelat-pelat ini adalah stainless steel, vitalium dan titanium. Pelat rekonstruksi stainless steel dan titanium telah dikembangkan dalam usaha untuk mendapatkan pilihan rekonstruktif mandibula yang cepat, single-staged, dan terpercaya dalam mem pertahankan fungsi dan bentuk rongga mulut, tetapi penggunaan pelat rekonstruksi ini menunjukan derajat keberhasilan yang berbeda (Clement dkk., 1997).…”

Section: Pengantarunclassified

Evaluasi Komplikasi Plate Exposure Pasca Reseksi Amelobl Astoma Mandibula Dengan Rekonstruksi Pelat Titanium Di Rsup Dr. Sardjito Yogyakarta

et al. 2017

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aBstraKReseksi rahang merupakan perawatan pilihan yang utama pada ameloblastoma mandibula dengan kerusakan tulang yang luas.Tindakan reseksi pada mandibula akan menyebabkan gangguan stabilitas pada mandibula akibat adanya bagian tulang yang hilang. Ketidakstabilan mandibula menimbulkan gangguan fungsi estetis, fisiologis, dan psikologis. Untuk mengembalikan stabilitas mandibula diperlukan pemasangan pelat rekonstruksi mandibula pada tulang mandibula yang tersisa dengan menggunakan sekrup. Akan tetapi tidak jarang didapatkan adanya komplikasi plate exposure setelah tindakan rekonstruksi mandibula, karena adaptasi pelat terhadap tulang mandibula kurang akurat. Model stereolitografi 3 dimensi dapat membantu memberikan penilaian terhadap defek tulang yang paling baik, merencanakan pembuatan lengkung pelat pre-operatif lebih mudah dan lebih akurat dan mempercepat waktu operasi Tujuan: untuk mengevaluasi komplikasi plate exposure pasca-reseksi mandibula setelah rekonstruksi pelat titanium di RSUP Dr. Sardjito. Laporan Kasus: Dilaporkan sebuah kasus rekonstruksi mandibula pasca reseksi ameloblastoma dengan pelat titanium yang dilakukan di RSUP Dr. Sardjito dan mengalami komplikasi plate exposure intra oral dan fistula oro kutan pada JURNAL TEKNOSAINS

show abstract

Scope and limitations of methods of mandibular reconstruction: a long-term follow-up

Cited by 123 publications

References 20 publications

Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates

Predictive factors for premature loss of Martin 2.7 mandibular reconstruction plates

Reconstruction of residual mandibular defects by iliac crest bone graft in war-wounded Iraqi civilians, 2006–2011

Evaluasi Komplikasi Plate Exposure Pasca Reseksi Amelobl Astoma Mandibula Dengan Rekonstruksi Pelat Titanium Di Rsup Dr. Sardjito Yogyakarta

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