Rigid reconstruction plates for immediate reconstruction following mandibular resection for malignant tumors

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
C LindqvistJ Paatsama

Abstract

Thirty-four primary alloplastic reconstructions of segmental mandibular defects caused by surgery for oral malignancy were performed during a 6-year period. Eighty-eight percent of the tumors were classified as stage III or IV. One third of the patients died during follow-up, nine with their primary reconstruction plate in place. During the follow-up, 12 patients required plate removal because of complications; four of them were treated with another plate. Nineteen of 21 patients alive at the end of follow-up were free of disease. Ten had their primary plate in place, and four had had a secondary plate installed because of plate fracture or screw loosening. Three patients had their mandible permanently reconstructed with bone. The functional and esthetic results were considered excellent or fair in a majority of the cases. Because the 5-year survival rate for patients with advanced mandibular malignancies is 15% to 20%, extensive, definitive reconstructive procedures during primary surgery are usually not justified.

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Citations

Feb 6, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Nils-Claudius GellrichRalf Gutwald
Mar 12, 2004·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Akira KatakuraMasoo Yoshinari
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