The bridging lateral mandibular reconstruction plate revisited

Archives of Otolaryngology--head & Neck Surgery
K E Blackwell, V Lacombe

Abstract

Lateral oromandibular reconstruction using a soft tissue free flap with a first-generation locking mandibular reconstruction plate (MRP) was rejected in a previous series by the senior author (K.E.B.) owing to a high incidence of delayed plate extrusion through the cheek skin. To reexamine this method of reconstruction using a second-generation, low-profile MRP. A prospective case series of 27 patients with segmental defects of the lateral mandible after treatment of head and neck cancer. An academic tertiary care referral center. All patients had mandibular continuity restored using the Leibinger Locking System (Stryker Leibinger Inc, Kalamazoo, Mich) MRP. Associated soft tissue defects were repaired using radial forearm (n = 22) or rectus abdominis (n= 5) free flaps. Incidence of hardware-related complications. All microvascular flap transfers were successful. One patient experienced a plate fracture 9 months after reconstruction. Only 1 patient experienced external plate exposure, 6 months after undergoing reconstruction of a through-and-through defect. Reconstruction was successful in 25 (93%) of the cases after a median follow-up period of 19.5 months. The high incidence of external plate exposure in patients undergoing la...Continue Reading

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