Reconstruction of mandibular defects in irradiated patients

American Journal of Surgery
D W KlotchL Kuhn

Abstract

In this prospective study, mandibular reconstruction using titanium plates was evaluated in 31 patients treated between July 1988 and January 1990. Sixteen patients had prior surgery; 13 had prior radiotherapy. In 11 patients, prior radiation and surgery had failed. Sixteen patients received postoperative radiotherapy either in standard or accelerated fractions. Twelve patients had complications of either intraoral (8), extraoral (5), or combined (1) plate exposure or fistula formation (2). Factors significantly related to complications were poor nutrition, accelerated radiation, and recurrence. Sixty-one percent of all patients healed uneventfully. When patients with complications secondary to recurrence who subsequently died were excluded, the success rate was 73%. Only one patient had an unacceptable result that produced a cosmetic and functional deformity despite secondary repair.

References

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Citations

Jan 1, 1995·American Journal of Otolaryngology·J R Haller, M J Sullivan
Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Nils-Claudius GellrichRalf Gutwald
May 19, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Mehmet Emre BenlidayiLeman Sencar
Apr 1, 1996·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D W KlotchA Slater-Haase
Oct 3, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·D W KlotchR L Gal
Jul 29, 2003·American Journal of Otolaryngology·Francisco V de Mello-FilhoCatherine E Miles
Aug 15, 2002·The British Journal of Oral & Maxillofacial Surgery·N ZwetyengaC Majoufre-Lefebvre
Oct 4, 2005·American Journal of Clinical Oncology·Zhong-He WangWilliam M Mendenhall
Dec 20, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Larissa SweenyEben L Rosenthal
Jan 31, 2006·International Journal of Oral and Maxillofacial Surgery·P B MarianiJ Magrin
Aug 10, 2000·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·C SiegmundS Swaid
Oct 6, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J L EdmondsD A Girod
Mar 3, 2018·The Journal of Craniofacial Surgery·Yoshiaki SakamotoKazuo Kishi

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