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[Mandibular reconstruction with calvarial bone and temporalis flap]
K W Grätz1, H F Sailer, C Oechslin
1Klinik und Poliklinik für Kiefer- und Gesichtschirurgie Universitätsspital Zürich.
Fortschritte Der Kiefer- Und Gesichts-Chirurgie
|January 1, 1994
Summary
This study reports on using calvarian bone flaps for mandibular reconstruction in 11 patients, achieving good functional and esthetic outcomes. This technique offers a viable alternative for complex cases, especially after prior neck surgery and radiation.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Oncology
Context:
- Massive mandibular defects pose significant reconstructive challenges.
- Previous neck surgery and radiation complicate traditional free flap reconstructions.
- Osseointegration is crucial for restoring mandibular function.
Purpose:
- To evaluate the efficacy of vascularized and free full-thickness calvarian bone flaps with temporalis muscle flaps for mandibular reconstruction.
- To assess functional and esthetic outcomes in patients with massive mandibular defects.
- To compare this technique with conventional osseomyocutaneous microvascularized free flaps.
Summary:
- Eleven patients underwent mandibular reconstruction using calvarian bone flaps (vascularized or free) and temporalis muscle flaps.
- Indications included squamous cell carcinoma, radioosteomyelitis, and gunshot trauma.
- Five patients received titanium osseointegration posts, with successful functional and esthetic results.
Impact:
- Calvarian bone flaps provide a valuable alternative for mandibular reconstruction, particularly in previously operated and irradiated necks.
- The technique allows for immediate osseointegration post-transplantation.
- Advantages include a single operative field, minimal donor site pain, and inconspicuous scarring.