Aesthetically successful mandibular reconstruction with a single reconstruction plate

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic and Reconstructive Surgery
• Biomedical Engineering

Background:

• Mandibular defects often require complex reconstruction.
• Free fibular flaps are a common method for mandibular reconstruction.
• Aesthetic outcomes are a crucial consideration in reconstructive surgery.

Purpose of the Study:

• To identify key factors for achieving aesthetically successful mandibular reconstruction.
• To outline the limitations of current reconstructive techniques.
• To inform patient expectations regarding aesthetic results.

Main Methods:

• Utilized free fibular flaps for mandibular reconstruction.
• Employed a single low-profile reconstruction plate.
• Focused on accurate plate bending, bone alignment, and lower border maintenance.

Main Results:

• Aesthetically successful reconstruction is possible, especially in defects involving only the mandible and oral lining.
• Excellent results can be indistinguishable from normal anatomy in select cases.
• Massive defects involving additional structures present significant aesthetic challenges.

Conclusions:

• Accurate technique, including plate contouring and bone positioning, is vital for aesthetic mandibular reconstruction.
• Severe soft tissue deficits and postoperative radiation therapy can compromise aesthetic results.
• Realistic patient expectations are essential, particularly in cases of extensive defects.