PMID: 9046293Feb 1, 1997Paper

Factors involved in long- and short-term mandibular plate exposure

Archives of Otolaryngology--head & Neck Surgery
R E NicholsonD Young

Abstract

To evaluate and to compare rates and timing of exposure of alloplastic mandibular plates by plate type and tissue reconstruction technique. A retrospective review series of 92 consecutive patients for 4 years (mean follow-up, 30 months). National Cancer Institute-designated comprehensive cancer center in a freestanding cancer hospital. Seventy-nine patients received alloplastic mandibular plates for segmental defects, and 13 patients received compression plates for mandibular osteotomies following ablative cancer surgery, including 21 titanium hollow osseointegrating reconstruction, 41 Storz, 16 Synthes, and 5 AO/ASIF (Arbeitsgemein schott fur Ostcosynthese fragen/Association for the Study of Internal Fixation) plates. Primary flap repair was provided by 71 pedicled soft tissue and 19 osseocutaneous free flaps, with primary closure in the remaining 2. Most of the reconstructions of the mandibular defect was with an alloplastic plate with musculocutaneous flap or revascularized bone graft. Clinically apparent intraoral or extraoral plate exposure. Plate exposure occurred in 25 cases. Nine plates were exposed extraorally, at a mean postoperative interval of 40 weeks. The remaining 16 plates were exposed intraorally at a mean post...Continue Reading

Citations

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