[Results of mandibular bone plastic repair with vascularized autotransplants]

A total of 96 vascularized flaps used in the reconstruction of the mandible in 91 patients are analyzed. In 82 cases the defects appeared after treatment of malignant and benign lesions of the mandible. In 18 patients the mandible was reconstructed using rib grafts. The lateral border of the scapula was used in 30 patients and fibular grafts in 12 patients. In 36 cases mandibular and soft tissue defects were corrected using vascularized latissmus dorsi flaps combined with the tenth or eleventh rib. The results were positive in 86-92% of the cases. The postoperative analysis shows excellent esthetic and functional results in all the patients who had primary plastic reconstruction of the mandible and the results were good in 36% of cases of secondary plastic reconstruction of the mandible. The donor sites in all cases showed no functional disturbances.