Abstract
The purpose of this article is to investigate the complications associated with mandibulotomies and analyze contributing factors. A total of 103 patients, who had undergone a mandibulotomy for tumors of the oral cavity or oropharynx, were identified and their hospital records, clinical charts, and radiographs retrospectively reviewed. Variables associated with mandibulotomy complications (osteotomy type, osteotomy site, tooth extraction, fixation method, radiation, and chemotherapy) were classified and statistically analyzed. Various complications were encountered in 19 (18.4%) patients, and were classified into 2 categories: intraoperative and postoperative complications. Paramedian (42.7%) stair-step (86.4%) osteotomies had been frequently used. Rigid fixation using one monocortical plate, one bicortical plate, and screws (MCP + BCP [46.6%]) was the main fixation method and showed statistical significance in the complications of mandibulotomy (P < .05). Five (71.4%) out of 7 patients who received preoperative radiotherapy developed postoperative complications, and 3 (60%) out of 5 patients who received preoperative chemotherapy developed complications. Among the complications, nonunion was observed in 7 (6.7%) patients and os...Continue Reading
References
Jun 1, 1976·Radiology·J M BedwinekT E Daley
Sep 1, 1991·Head & Neck·S Dubner, R H Spiro
Sep 1, 1991·Head & Neck·A Sardi, P J Walters
Feb 1, 1991·Plastic and Reconstructive Surgery·R G HaleR A Bays
Apr 1, 1989·Archives of Otolaryngology--head & Neck Surgery·J DavidsonD Birt
May 1, 1981·Head & Neck Surgery·R H SpiroE W Strong
May 1, 1983·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R E Marx
May 1, 1983·Head & Neck Surgery·I A McGregor, D G MacDonald
Oct 1, 1981·British Journal of Plastic Surgery·J H Carraway, I A McGregor
Oct 1, 1993·American Journal of Surgery·J P ShahV Kulkarni
Feb 1, 1996·The British Journal of Oral & Maxillofacial Surgery·K Altman, B M Bailey
Apr 1, 1997·Archives of Otolaryngology--head & Neck Surgery·J DavidsonB Cummings
Sep 26, 1997·Archives of Otolaryngology--head & Neck Surgery·T ShpitzerE Gur
Dec 1, 1961·American Journal of Surgery·H MARTINF P GEROLD
Nov 13, 2003·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Stephen L EngroffJ Anthony von Fraunhofer
Citations
May 15, 2013·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Tulika ShinghalDavid P Goldstein
Jun 7, 2012·Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology·Syed Nabil, Nabil Samman
Jan 2, 2010·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Daniel TaubBasem T Jamal
Dec 17, 2008·The British Journal of Oral & Maxillofacial Surgery·J Collin, A McLennan
Feb 24, 2011·The Laryngoscope·Tamer A Ghanem
Oct 7, 2009·The Laryngoscope·Peter T DziegielewskiHadi Seikaly
Feb 20, 2015·Annals of Plastic Surgery·Chih-Sheng LaiDing-Yu Song
Aug 7, 2013·Yonsei Medical Journal·Hye-Young NaWoong Nam
Dec 17, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·T SteinerF Hölzle
Mar 29, 2013·The Annals of Otology, Rhinology, and Laryngology·Young Min ParkSe-Heon Kim
Dec 28, 2017·Journal of Biomedical Materials Research. Part a·Miusi ShiYufeng Zhang
Feb 27, 2007·Journal of Materials Science. Materials in Medicine·Borhane H FellahPierre Layrolle
Aug 28, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Pierfrancesco PellicciaMarc Makeieff
Feb 17, 2017·The Annals of Otology, Rhinology, and Laryngology·Parul SinhaBruce H Haughey
Feb 15, 2017·Annals of Plastic Surgery·Yueh-Chi TsaiI-Chen Chen
Dec 3, 2020·The Laryngoscope·Chelsea S HamillRod P Rezaee
Dec 9, 2020·Head & Neck·Ting-Han ChiuChung-Kan Tsao
Nov 30, 2020·International Journal of Oral and Maxillofacial Surgery·K CarlwigL Greiff