A "no-touch-technique" in mandibular reconstruction with reconstruction plate and free flap transfer

Microsurgery
Masahide FujikiRyuichi Hayashi

Abstract

Mandibular reconstruction with a mandibular reconstruction plate (MRP) and free flap transfer can involve serious plate-related complications. The aim of our study is to present our new "no-touch-technique" which keeps an MRP not contaminated to saliva during the entire operation for the reduction of plate-related complications. Data were retrospectively collected on 29 patients who had undergone segmental mandibulectomy for head and neck tumor and mandibular reconstruction with an MRP and free flap transfer from 2004 to 2013; 12 patients were reconstructed with our no-touch-technique from 2010 to 2013 (no-touch-technique group), and 17 patients with the conventional technique from 2004 to 2009 (conventional group). A rectus abdominis musculocutaneous flap or anterolateral thigh flap was transferred in all patients. The rates of perioperative recipient site complications including total flap necrosis, partial flap necrosis, wound infection, fistula formation and wound dehiscence, and reoperation for complications were compared between the groups. All flaps were successfully transferred although one venous thrombosis formation occurred in the conventional group. The rate of wound infection in the no-touch-technique group (8.3%) ...Continue Reading

References

Oct 1, 1991·Plastic and Reconstructive Surgery·M A SchustermanM E Weldon
Oct 1, 1987·International Journal of Oral and Maxillofacial Surgery·R Koole, P Egyedi
May 1, 1995·Plastic and Reconstructive Surgery·J B BoydJ C Irish
Jan 24, 1998·Archives of Otolaryngology--head & Neck Surgery·M L UrkenH F Biller
Apr 6, 2006·International Orthopaedics·A M ByrneJ M O'byrne
Jan 5, 2007·The Laryngoscope·Shih-An LiuKwong-Chung Tung
Jan 24, 2007·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Lei LiPhilipp Pohlenz
Oct 1, 2011·The Journal of Craniofacial Surgery·Pushkar Kiran GadreKiran Shrikrishna Gadre
May 31, 2013·Head & Neck·Eitan PrismanHarley Chan
Aug 16, 2013·Microsurgery·Emilio TrignanoHung-Chi Chen
Feb 18, 2014·Annals of Surgical Oncology·Kenichi KamizonoRyuichi Hayashi

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Citations

May 16, 2018·Journal of Surgical Oncology·Shimpei MiyamotoMinoru Sakuraba
Oct 20, 2018·The Bulletin of Tokyo Dental College·Nobuharu YamamotoTakahiko Shibahara
May 21, 2020·The Journal of Craniofacial Surgery·Satoshi OnodaYukino Ariyoshi

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