Long term results of reconstruction plates in lateral mandibular defects. Revision of nine cases

Auris, Nasus, Larynx
Javier Arias-GalloVicente Martorell-Martínez

Abstract

Although microsurgical bone transplant is still the gold standard, mandibular reconstruction plates (MRP) were for several years considered a fast and safe way to restore mandibular continuity without using a bone graft. New plate designs with locking screws have been recently introduced, and these may overcome some of the complications related to previous designs. We review the results of mandibular reconstruction plates in our institution from 1991 to 1995. The records of nine cancer patients who underwent lateral mandibular resections (with preservation of both condyle and symphysis) followed by reconstruction with a mandibular reconstruction plate, were retrospectively reviewed. Patients were treated between 1991 and 1995 with regular Synthes and Leibinger plates (without locking screws). Immediately after tumour resection, the bone defect was reconstructed with an MRP without bone grafting. Three cases required soft tissue coverage: two flaps and one buccal fat pad flap. There was immediate orocervical fistula in six cases, one of which required surgical closure; and late complications were common. One patient died due to distant metastasis 13 months after surgery without symptoms related to the plate. The remaining eight ...Continue Reading

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Citations

Mar 11, 2006·Surgical and Radiologic Anatomy : SRA·Marios LoukasBarry Hallner
Dec 4, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·P W KämmererG F Draenert
Oct 19, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Sang-Woon LeeSeong-Gon Kim
Sep 12, 2013·Oral and Maxillofacial Surgery Clinics of North America·Jan WolffVesa T Kainulainen
Mar 2, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Bo-Han LiJong-Ho Lee
Sep 18, 2014·Plastic Surgery International·Akiko SakakibaraShinya Tahara
Jan 1, 2015·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Guk-Jin SeolJun-Young Paeng
Sep 17, 2013·The Journal of Craniofacial Surgery·Auremir Rocha MeloCarlos Augusto Pereira do Lago
Aug 26, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eric BauerPatrik Pipkorn
Jul 27, 2017·Khirurgiia·G P KotelnikovM A Khassan

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