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Prosthetic plate mandibular reconstruction.

M J Davidson1, P J Gullane

  • 1Department of Otolaryngology, University of Toronto, Ontario, Canada.

Otolaryngologic Clinics of North America
|December 1, 1991
PubMed
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This article reviews metallic prostheses for reconstructing the mandible after tumor removal. It covers indications, surgical techniques like AO and THRP plate application, and potential complications for head and neck surgeons.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Surgical Oncology
  • Biomaterials Science

Background:

  • Mandibular reconstruction is crucial after tumor ablation to restore function and aesthetics.
  • Various reconstruction methods exist, each with specific indications and limitations.

Purpose of the Study:

  • To discuss the application of metallic mandibular prostheses for reconstruction.
  • To outline indications for alloplastic (synthetic material) reconstruction of the mandible.
  • To detail surgical techniques and potential complications.

Main Methods:

  • Review of current literature on mandibular reconstruction techniques.
  • Discussion of alloplastic materials and their suitability for mandibular replacement.
  • Description of plate fixation methods, including AO and THRP techniques.

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Main Results:

  • Metallic prostheses offer a viable option for mandibular reconstruction.
  • Specific indications guide the choice between different alloplastic reconstruction methods.
  • Successful plate application (AO and THRP) is key to functional outcomes.
  • Complications associated with alloplastic reconstruction require careful management.

Conclusions:

  • Alloplastic mandibular reconstruction with metallic prostheses is an important surgical option.
  • Understanding indications and mastering plate application techniques are essential for optimal results.
  • Awareness and management of complications are critical for patient recovery.