An analysis of inadvertent perforations of mucosa and skin concurrent with mandibular reconstruction

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Eric R Carlson, Kevin Monteleone

Abstract

This article reports on the incidence and outcome of inadvertent perforations of mucosa and skin during the reconstruction of segmental defects of the mandible using cancellous cellular bone. This study reviews 11 patients experiencing an inadvertent perforation of skin and/or mucosa among 211 consecutive patients (5.2%) undergoing reconstruction of the mandible with this graft model. Eleven patients experienced 16 perforations of either mucosa (n = 14) or skin (n = 2). Six diagnoses necessitated these 11 reconstructions where a perforation was encountered, including ameloblastoma (n = 3), chronic osteomyelitis (n = 2), stage III osteoradionecrosis (n = 2), fibrosarcoma (n = 1), synovial cell sarcoma (n = 1), stage IV squamous cell carcinoma (n = 1), and odontogenic myxoma (n = 1). Fourteen of the 16 perforations occurred intraoperatively, and 2 occurred postoperatively (dehiscence). Eleven of the 16 perforations occurred at either the distal or proximal segment, while 5 of the perforations occurred in the mid portion of the segmental defect tissues. Postreconstruction follow-up ranged from 11 to 70 months (mean, 28.5 months). Infection occurred in 1 of the 11 patients (9.1%) with resultant partial graft loss. Protocols are pro...Continue Reading

References

Mar 1, 1988·Archives of Otolaryngology--head & Neck Surgery·S R Baker, M J Sullivan
Sep 1, 1995·Plastic and Reconstructive Surgery·D A Hidalgo, A Rekow
Jul 1, 1996·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·E R Carlson, R E Marx

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Citations

Oct 16, 2009·International Journal of Oral and Maxillofacial Surgery·P Schuller-GötzburgC Krenkel
Nov 21, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R Bryan Bell, Curtis Gregoire
Nov 22, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·David L HirschBryce E Potter
Feb 3, 2015·Journal of Clinical Periodontology·Liat ChaushuCarlos E Nemcovsky
Nov 12, 2016·Journal of Maxillofacial and Oral Surgery·Batchu Pavan KumarS Ram Mohan
Feb 17, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Thomas SchlieveAntonia Kolokythas
Feb 21, 2006·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Eric R Carlson, Robert E Marx

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