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Published on: August 4, 2020
Reconstruction of acquired oromandibular defects
Rui P Fernandes1, Jacob G Yetzer
1Department of Oral and Maxillofacial Surgery, College of Medicine, University of Florida, Jacksonville, FL 32209, USA. rui.fernandes@jax.ufl.edu
Summary
Reconstructing the mandible after defects from trauma or surgery requires understanding anatomy and defect size. Microvascular free tissue transfer offers tailored solutions for complex mandibular reconstruction needs.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Anatomy
Background:
- Acquired mandibular defects from trauma, infection, osteoradionecrosis, and surgery significantly impact patients.
- Reconstruction of these defects is essential for restoring function and aesthetics.
- Mandibular and cervical anatomy knowledge is critical for successful reconstruction.
Purpose of the Study:
- To review the principles and techniques for mandibular reconstruction.
- To highlight the importance of anatomical evaluation in selecting reconstructive methods.
- To discuss the range of reconstructive options available.
Main Methods:
- Evaluation of defect- and patient-related factors.
- Assessment of missing hard and soft tissue components.
- Consideration of reconstructive complexity, from internal fixation to free tissue transfer.
Main Results:
- Mandibular reconstruction complexity varies widely.
- Microvascular free tissue transfer provides versatile reconstructive options.
- Reconstruction can be tailored to individual patient needs.
Conclusions:
- Successful mandibular reconstruction relies on a thorough understanding of anatomy and defect characteristics.
- Modern reconstructive techniques, particularly microvascular free tissue transfer, offer effective solutions for diverse mandibular defects.
- Personalized approaches are key to optimizing outcomes in mandibular reconstruction.