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Primary mandibular reconstruction with bridging plates

J Alonso del Hoyo1, J Fernandez Sanroman, P Rubio Bueno

  • 1Universidad Autonoma de Madrid, Facultad de Medicina, La Princesa Hospital, Maxillofacial Surgery Department, Spain.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|February 1, 1994
PubMed
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Titanium reconstruction plates effectively restore mandibular continuity after resection for oral cancer, tumors, or osteomyelitis. This method offers functional and cosmetic benefits, justifying its use despite minor complications.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Oncology

Background:

  • Mandibular defects pose significant functional and cosmetic challenges.
  • Reconstruction plates offer a solution for bridging mandibular defects after resection.

Purpose of the Study:

  • To evaluate the efficacy of titanium reconstruction plates for mandibular defects.
  • To assess functional and cosmetic outcomes in patients undergoing mandibular reconstruction.

Main Methods:

  • Retrospective analysis of 25 patients undergoing mandibular resection and reconstruction.
  • Use of AO and Leibinger titanium reconstruction systems.
  • Inclusion of patients with oral carcinoma, odontogenic tumors, and osteomyelitis.

Main Results:

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  • No perioperative mortality observed.
  • One plate removal due to complications.
  • Minor complications in 11 patients, with functional and cosmetic improvements noted.

Conclusions:

  • Titanium reconstruction plates are a viable option for mandibular reconstruction.
  • The system provides significant functional and cosmetic benefits compared to non-plate reconstruction.
  • The procedure is associated with low complication rates and justifies its clinical application.