Related Experiment Video
Updated: Jul 1, 2026
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
6.5K
Introduction of a New Mandibular Reconstruction Procedure Using a Sagittal Split: A Case Report.
Han-Pang Liu1, Chi-Sheng Cheng1, Chien-Ming Chang2
1Department of Stomatology, Oral and Maxillofacial Surgery, Taichung Veterans General Hospital, Taichung, TWN.
Cureus
|October 28, 2024
Summary
This study presents a novel surgical technique for mandibular reconstruction using a sagittal split and forearm flap graft. The method offers a viable alternative for specific patients, promoting rapid recovery and good graft tolerance to radiotherapy.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Oncology
Background:
- Mandibular defects from tumor resection present reconstruction challenges.
- Adjuvant therapies like chemotherapy and radiotherapy can complicate healing and increase morbidity.
- Existing reconstruction methods may have limitations, necessitating innovative approaches.
Observation:
- A novel technique combining sagittal mandibular split with a vascularized forearm flap graft was developed.
- This approach was applied to an older male patient with a significant mandibular defect.
- The bridging bone segment was preserved using the mylohyoid muscle and periosteum.
Findings:
- The patient demonstrated a rapid recovery post-surgery.
- A two-year follow-up confirmed excellent tolerance of the bone and skin grafts to radiotherapy.
- The vascularized forearm flap successfully repaired the soft tissue defect.
Implications:
- This technique is a viable option for mandibular reconstruction in cases with bony gaps around 4 cm.
- It serves as an alternative when vascularized fibular flap grafts are contraindicated.
- The procedure potentially reduces morbidity and enhances the success rate of mandibular reconstruction.
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