Temporary mandibular stabilisation during reconstruction: an alternative technique

Mohindra, A.; Blanco-Guzman, M.

doi:10.1016/j.bjoms.2008.09.010

Cited by 10 publications

(4 citation statements)

References 5 publications

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“…The alternative techniques described in literature for cases where the pathology involves the outer cortex of the mandible Plates can be bent in accordance with special surgical needs, e.g., undercontouring the anterior part of the mandible to prevent early plate penetration through the skin or over-projection of the chin are the temporary use of external fixators [10][11][12] or K-wires [13]. There is also one report about a splint-and-plate technique [14].…”

Section: Discussionmentioning

confidence: 97%

Mandible reconstruction with patient-specific pre-bent reconstruction plates: comparison of a transfer key method to the standard method—results of an in vitro study

Wilde

Plail²,

Riese

et al. 2011

Int J CARS

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Section: Discussionmentioning

confidence: 97%

Mandible reconstruction with patient-specific pre-bent reconstruction plates: comparison of a transfer key method to the standard method—results of an in vitro study

Wilde

Plail²,

Riese

et al. 2011

Int J CARS

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“…In fact, the surgery must be quick and efficient [20]. The temporary external device gives us more time to plan effective reconstruction while it effectively alleviates pain [21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Twenty-four years of experience in management of complex mandibular fractures with low cost, custom-made mandibular external fixation: A 65-patient series

Marti-Flich

Schlund

Raoul

et al. 2020

Journal of Stomatology, Oral and Maxillofacial Surgery

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“…However, after the mandible has been resected, it is difficult to accurately reposition it. To overcome this challenge, three‐dimensional (3D) models have been used to prepare preoperatively bent reconstructive plates (Funayama et al, ; Mohindra & Blanco‐Guzman, ). Recently, direct computer‐aided design (CAD) and computer‐aided manufacturing (CAM) techniques are expected to improve the accuracy of mandibular repositioning.…”

Section: Introductionmentioning

confidence: 99%

Microsurgical mandibular reconstruction using a resin surgical guide combined with a metal reconstructive plate

et al. 2019

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Introduction In mandibular reconstruction, repositioning the mandibular position is still challenging and time consuming. We invented a new re‐positioning technique using a resin plate combined with a reconstructive plate in reconstructing the mandible with an osteocutaneous free flap. The purpose of this report is to introduce this technique and evaluate the accuracy of mandibular reconstruction using free flaps. We hypothesized that this technique is precise and can reduce intraoperative plate bending at a low cost and short preparation period. Methods Mandibular reconstruction was successfully performed in a total of 10 cases without any complications. In this technique, a pre‐bent reconstructive plate was prepared in accordance with a three‐dimensional model, and then coated with resin. Intraoperatively, the mandibles were secured by fitting these plates snugly and fixing them using a reconstructive plate. Then the resin was removed and free osteocutaneous free flaps were transfer to the defect. Ten patients with a mean age of 68.2 who underwent mandibular resection for aggressive benign (n = 1) or malignant disease (n = 9) were reconstructed using this technique. Seven cases were reconstructed using fibular osteocutaneous free flaps, while scapular osteocutaneous free flaps were used in the remaining cases. The resections entailed: unilateral symphysis and lateral body in four cases, angle to ipsilateral angle in two, ramus to symphysis in two, and lateral body plus angle to symphysis in one case. The deviation of the mandible was evaluated by measuring the preoperative versus postoperative differences in the distances between six bilateral landmarks. Results There were no complications and flap failure in any of the 10 cases. No further intraoperative plate bending was required. One case underwent additional mucosal resection due to recurrence of cancer. Three cases were referred to postoperative chemoradiotherapy. Two patients expired during follow‐up due to recurrence of cancer. Six cases were put back on a normal diet. The other cases who lacked opposing teeth had to remain on a soft diet. The mean follow‐up period was 46.2 months. The average of the absolute deviation values was 1.45 mm. This value was 0.94 mm in six cases with mandibular body defects and 2.26 mm in four cases with mandibular defects involving the ramus. Conclusions The present novel technique is simple, quick to prepare, and accurate. This technique can be a viable option for microsurgical mandibular reconstruction.

show abstract

Temporary mandibular stabilisation during reconstruction: an alternative technique

Cited by 10 publications

References 5 publications

Mandible reconstruction with patient-specific pre-bent reconstruction plates: comparison of a transfer key method to the standard method—results of an in vitro study

Mandible reconstruction with patient-specific pre-bent reconstruction plates: comparison of a transfer key method to the standard method—results of an in vitro study

Twenty-four years of experience in management of complex mandibular fractures with low cost, custom-made mandibular external fixation: A 65-patient series

Microsurgical mandibular reconstruction using a resin surgical guide combined with a metal reconstructive plate

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