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Immediate mandibular replacement using reconstruction plates.

W W Shockley1, M C Weissler, H C Pillsbury

  • 1Division of Otolaryngology-Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill 27599.

Archives of Otolaryngology--Head & Neck Surgery
|July 1, 1991
PubMed
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Mandibular reconstruction plates offer a viable alternative to microvascular surgery for jaw defects. This method provides excellent contour and function with fewer complications, making it a valuable surgical option.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Mandibular reconstruction after tumor resection presents surgical challenges.
  • Current methods, including microvascular surgery, have limitations such as increased operative time and donor site morbidity.
  • Plate reconstruction offers a potential alternative.

Purpose of the Study:

  • To review the technique, results, and complications of using mandibular reconstruction plates for jaw defects.
  • To evaluate the advantages of plate reconstruction compared to other methods.

Main Methods:

  • Retrospective review of 19 patients undergoing mandibular reconstruction with plates.
  • Focus on surgical technique, outcomes, and complications.

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Main Results:

  • Mandibular plate reconstruction demonstrated advantages including lack of donor site morbidity, expediency, and excellent mandibular contour.
  • The technique allowed for condylar reconstruction when needed.
  • Complications were noted but manageable.

Conclusions:

  • Mandibular plate reconstruction is an effective technique for restoring mandibular form and function after tumor resection.
  • It offers significant benefits over traditional methods, particularly regarding donor site morbidity and operative efficiency.