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Related Experiment Videos

Mandibular reconstruction. New concepts.

P J Gullane, H Holmes

    Archives of Otolaryngology--Head & Neck Surgery
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    A myocutaneous flap combined with a bendable plate effectively restores mandibular defects in irradiated patients. This surgical approach shows promising long-term stability for reconstruction, aiding recovery.

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    About this journal.

    Archives of otolaryngology--head & neck surgery·2013
    See all related articles

    Area of Science:

    • Oral and Maxillofacial Surgery
    • Reconstructive Surgery
    • Oncology

    Background:

    • Mandibular defects often result from surgical resection of tumors, particularly in irradiated patients.
    • Restoring function and aesthetics after such resections presents significant reconstructive challenges.
    • Previous methods may have limitations in irradiated tissues, necessitating innovative solutions.

    Purpose of the Study:

    • To evaluate the efficacy of combining myocutaneous flaps with three-dimensional bendable reconstruction plates for mandibular defects.
    • To assess the long-term outcomes and plate stability in patients who have undergone prior irradiation.
    • To compare outcomes between patients requiring soft-tissue resurfacing versus primary closure.

    Main Methods:

    • Prospective evaluation of 28 patients with mandibular defects.

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  • Two treatment groups: Group A (myocutaneous flap for soft-tissue defect) and Group B (primary closure).
  • Exclusion of patients requiring postoperative irradiation; focus on those with presurgical irradiation.

    • Main Results:

    • Satisfactory results were achieved in restoring mandibular defects.
    • 64% of patients maintained their plates for over one year, with half exceeding two years.
    • Plate survival rates were high, with only one plate lost in an irradiated patient.

    Conclusions:

    • The combination of myocutaneous flaps and bendable reconstruction plates is a viable and effective method for mandibular reconstruction in irradiated patients.
    • The reconstructive approach demonstrates good long-term stability and functional restoration.
    • This technique offers a reliable solution for complex defects, even in challenging irradiated fields.