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[Protocol of mandibular reconstruction].

J F Chassagne, M Brice, G Dinh Doan

Revue De Stomatologie Et De Chirurgie Maxillo-Faciale

|January 1, 1985

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Free osteo (musculo) cutaneous grafts from the anterior iliac crest are recommended for mandible reconstruction when conventional methods fail due to poor vascularization or infection. This approach offers a viable alternative for complex cases.

Area of Science:

Oral and Maxillofacial Surgery
Plastic Surgery
Regenerative Medicine

Background:

Conventional mandible reconstruction methods require specific conditions rarely met in immediate or secondary surgeries.
Previous infections often compromise the success of traditional reconstructive techniques.
Small bone defects can be managed with iliac or costal grafts, but larger losses present challenges.

Purpose of the Study:

To propose an alternative surgical technique for mandible reconstruction.
To address limitations of conventional methods in compromised surgical fields.
To evaluate the utility of free osteo (musculo) cutaneous grafts for mandible reconstruction.

Main Methods:

Utilizing free osteo (musculo) cutaneous grafts for mandible reconstruction.

Related Experiment Videos

Preferential use of an anterior iliac crest flap.

Pediculation of the flap on the deep iliac circumflex vessels.

Main Results:

Free osteo (musculo) cutaneous grafts provide a viable option for mandible reconstruction.
The anterior iliac crest flap offers a suitable source for these grafts.
This method overcomes limitations associated with conventional techniques in challenging cases.

Conclusions:

Free osteo (musculo) cutaneous grafts are a valuable alternative for mandible reconstruction.
The anterior iliac crest flap is a preferred source for these grafts.
This technique improves outcomes in cases with compromised vascular beds or prior infections.