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Mandibular restoration in the cancer patient: microvascular surgery and implant prostheses
R F Jacob1, G P Reece, T D Taylor
1M.D. Anderson Cancer Center, Houston, Texas.
Abstract:
This article deals with state of the art reconstruction and rehabilitation of the head and neck cancer patient who requires mandibular resection. The mandible can be reconstructed by microvascular free tissue transfer of bone and soft tissue from distant body sites. The dental units and missing soft tissue contours can be supported by osseointegrated implants placed in the grafted bone. This article discusses the rationale for patient selection and sequencing of this complex and rewarding rehabilitation.