One-stage resection and repair in mandibular carcinomas

This paper deals with a one-stage cosmetically modified operative procedure for resection and simultaneous reconstruction of oral malignancies restricted to the lower 1/3 of the face, in a group of patients falling into stratification staging 2-6, with a moderately well-differentiated squamous cell histological picture. Primary osseous defects have been restored in autogenous full thickness iliac crest bone graft which is split and slid, not only to gain adequate length but also to prepare matching steps for complete osseous compression. It is easy to contour and gives an excellent cosmetic result. Bioacceptable stainless steel implants have also been tried in earlier cases. This one-stage approach supersedes the previously complicated procedures of delayed multi-stage reconstruction and had an 80% success rate in the selected groups with a 4-year follow-up.