Volume-Length Impact of Lateral Jaw Resections on Complication Rates

Abstract

Extirpative losses involving more than 5 cm of bone, or tissue volume greater than 240 cm3, are associated with unacceptably high complication rates when reconstructed with solid screw stainless steel plates and this warrants consideration of alternative techniques for long-term stability.

A small number of residual teeth after the mandibular resection of oral cancer is associated with titanium reconstruction plate exposure

“…In our study, reconstruction plate exposure occurred in eight (21.6%) of 37 patients, and the overall 5‐year exposure‐free rate was 70.6%. Thus, our clinical outcome was comparable with previous reports (Arden et al, ; Fanzio et al, ; Maurer et al, ; Okura et al, ). In various studies, many predictive factors have been presented, and physical factors (Fanzio et al, ; Maurer et al, ; van der Rijt et al, ; Wood et al, ), hardware factors (Arden et al, ; Ettl et al, ; Mariani et al, ; Okura et al, ; Poli et al, ; Prasad et al, ; Shibahara et al, ), and treatment factors (Okura et al, ; Ryu et al, ; Shibahara et al, ; Wang et al, ) have been reported.…”

“…overall 5-year exposure-free rate was 70.6%. Thus, our clinical outcome was comparable with previous reports (Arden et al, 1999;Fanzio et al, 2015;Maurer et al, 2010;Okura et al, 2005). In various studies, many predictive factors have been presented, and physical factors (Fanzio et al, 2015;Maurer et al, 2010;van der Rijt et al, 2015;Wood et al, 2018), hardware factors (Arden et al, 1999;Ettl et al, 2010;Mariani et al, 2006;Okura et al, 2005;Poli et al, 2003;Prasad et al, 2018;Shibahara et al, 2002), and treatment factors (Okura et al, 2005;Ryu et al, 1995;Shibahara et al, 2002;Wang et al, 2005) Markwardt did not conduct a long-term observation; therefore, they may not have been able to determine a significant difference.…”

Composite Mandibulectomy

“…This was demonstrated in human patients in a 1999 report by Arden et al, 4 who demonstrated a 14% fistula rate (31 patients), with an increased incidence in patients who had a segmental defect exceeding 5 cm in length. 4 In actuality, the development of a fistulous tract in the animal model is likely a multifactorial process. For the animals described here, the rate of fistula formation was 8.3% at the time of writing.…”

“…In humans, an increased length of segmental resection has been attributed to an increased incidence of fistulas in some reports. This was demonstrated in human patients in a 1999 report by Arden et al, 4 who demonstrated a 14% fistula rate (31 patients), with an increased incidence in patients who had a segmental defect exceeding 5 cm in length 4 …”

Plate‐related complication and health‐related quality of life after mandibular reconstruction by fibula flap with reconstruction plate or miniplate versus anterolateral thigh flap with reconstruction plate

“…This finding has been discussed in literature, (Bauer et al, 2021) but a few studies advocated a soft tissue flap with a reconstruction plate in some circumstances (Arden et al, 1999;Day et al, 2014;Deleyiannis et al, 2006). First, in patients with a major comorbidity and who were unable to sustain prolonged surgery, the reconstruction time for a fibula flap either with reconstruction plate or miniplate herein was longer than that for an anterolateral thigh flap with a reconstruction plate (median, 450 versus 412 versus 310 min, respectively).…”