Mandibular reconstruction in elderly patients

Journal of Surgical Oncology
Shimpei MiyamotoMinoru Sakuraba

Abstract

The choice of reconstructive technique for a segmental mandibular defect in elderly patients is controversial. The aim of this study was to establish an algorithm for selecting a method of mandibular reconstruction in elderly patients. We retrospectively evaluated 121 patients aged ≥65 years who underwent immediate microvascular mandibular reconstruction after oncologic resection. Patients were divided into three groups based on method of reconstruction: vascularized bone graft (n = 49), mandibular reconstruction plate and soft tissue flap (n = 22), and soft-tissue flap (n = 50). We compared perioperative outcomes among groups and investigated factors affecting the choice of reconstructive technique. Rates of postoperative complications did not differ significantly among groups. Mandibular reconstruction plate was indicated only for anterior mandibular defects. Soft-tissue flap was indicated for posterior mandibular defects in patients aged ≥75 years or with a poor postoperative Eichner index. Mandibular reconstruction plate and soft-tissue flap can be good alternatives to vascularized bone graft in the elderly. Our algorithm uses defect type, patient age, and postoperative Eichner index to determine reconstructive technique.

References

May 1, 1995·Plastic and Reconstructive Surgery·J B BoydJ C Irish
Sep 17, 1999·Archives of Otolaryngology--head & Neck Surgery·K E Blackwell, V Lacombe
Nov 17, 2001·Plastic and Reconstructive Surgery·A TakushimaY Kimata
Aug 1, 2002·Journal of Reconstructive Microsurgery·Timothy W KingMichael J Miller
Dec 17, 2009·Plastic and Reconstructive Surgery·Afshin MosahebiPeter G Cordeiro
Feb 6, 2010·Plastic and Reconstructive Surgery·Matthew M HanasonoPeirong Yu
Nov 3, 2010·Plastic and Reconstructive Surgery·Evan MatrosJoseph J Disa
Feb 25, 2011·The British Journal of Oral & Maxillofacial Surgery·Christos PerisanidisRolf Ewers
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
Mar 21, 2012·The Journal of Contemporary Dental Practice·G HarshaV Sridhar Reddy
Apr 25, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Satoshi OnodaNobuyoshi Mizukawa
Oct 30, 2012·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Masahide FujikiRyuichi Hayashi
Sep 23, 2014·Journal of Prosthodontic Research·Yumi MochizukiHirofumi Tomioka
Mar 27, 2015·Plastic and Reconstructive Surgery·Benjamin D SchultzEduardo D Rodriguez

❮ Previous
Next ❯

Citations

May 24, 2019·Expert Review of Respiratory Medicine·Letizia ProcaccioFotios Loupakis
Jan 9, 2022·Clinical Oral Investigations·Tania Camila Niño-SandovalBelmiro C E Vasconcelos

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.