Surgical management of the osteoradionecrotic mandible with free vascularised composite flaps

Outcomes of microvascular free flap reconstruction for mandibular osteoradionecrosis: A systematic review

“…All analyses were performed with Comprehensive Meta-analysis (version 2.0). Table 1 shows selected characteristics of the identified studies (Ioannides, Fossion et al 1994, Nakatsuka, Harii et al 1996, Curi and Dib 1997, Santamaria, Wei et al 1998, Chang, Oh et al 2001, Celik, Wei et al 2002, Store, Boysen et al 2002, Militsakh, Wallace et al 2005, Bozec, Poissonnet et al 2006, Suh, Blackwell et al 2010, Baumann, Yu et al 2011, Cannady, Dean et al 2011, Chandarana, Chanowski et al 2013, Sawhney and Ducic 2013, Hillerup, Elberg et al 2014. Eight studies examined populations from North America, one from South America, four from Europe and two from Asia.…”

Treatment rationale for pathological fractures of the mandible: a series of 44 fractures

“…Preoperative magnetic resonance imaging (MRI) may help delineate the extent of marrow involvement to assist the surgeon in deciding how much bone is compromised, which will require resection. Bleeding bone itself may not be absolutely viable and although IOANNIDES et al 18 recommend resection 1 cm past clinically normal appearing bone they do not say how they judge this 'normal bone'. The present authors have attempted to preserve the inferior alveolar nerve in these cases, and it is usually thickened and surrounded by granulation tissue.…”

“…In initial cases external fixation was used but now LRPs are used in order to maintain mandibular continuity. Options for reconstruction include LRP alone, LRP with primary free bone graft, LRP with delayed secondary bone graft and LRP with primary microvascular composite reconstruction 15,18,33 (Fig. 5).…”

Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years

“…There were 81 papers (16, 24, 29, 30, 31, 33, 38, 47, 49, 53, 55, 57, 63, 65, 66, 69, 71, 73, 75, 76, 81, 84, 89, 91, 95, 97, 99, 100, 103, 104, 107-109, 111-116, 120, 121, 124, 125, 130, 132-134, 137, 140 145-150, 154, 158, 163, 165, 166, 168, 170-173, 180, 184, 185, 188, 194-197, 202, 203, 205, 210, 212, 221, 222, 229) 98, 101, 106, 110, 110, 117-119, 122, 123, 126-129, 131, 135, 138, 139, 141, 143, 151, 153, 156, 159-161, 164, 167, 169, 179, 182, 183, 187, 190, 192, 193, 199, 200, 204, 206, 207, 209, 212, 214, 216, 218, 220, 223, 225, 227, 228) also reconstructed the condyle, compared with 1.6% (6/373) for the iliac crest (13,15,19,60,77,79,86,87,98,105,155,157,161,177,178,183,201,211,212,227 …”