J Maxillofac Oral Surg. Dec;15(4) Epub Apr Mandibular Reconstruction: Overview. Kumar BP(1), Venkatesh V(1), Kumar KA(1), Yadav. Background: Fibular free flap (FFF) has been well accepted for jaw reconstruction over decades and has now become a popular option for lower jaw. MANDIBULAR RECONSTRUCTION Haripriya Despite so many advances in reconstructive surgery and microvascular free tissue.


Author: Quinn Anderson
Country: Tokelau
Language: English
Genre: Education
Published: 11 March 2017
Pages: 307
PDF File Size: 17.40 Mb
ePub File Size: 47.10 Mb
ISBN: 430-8-51277-244-6
Downloads: 63073
Price: Free
Uploader: Quinn Anderson


Metals have also been used; Vitallium, Stainless steel [ 7 ] and Titanium.

  • Step-by-step mandibular reconstruction with free fibula flap modelling
  • Reconstruction of Mandibular Defects
  • There was a problem providing the content you requested
  • Introduction
  • Mandibular Reconstruction: Overview

World War I saw the increased use in bone grafting for jaw defects. Blocker and Stout published an extensive review of free bone grafts used for mandible mandibular reconstruction taken from tibia, rib and iliac crest [ 8 ].

Step-by-step mandibular reconstruction with free fibula flap modelling

Bowerman reported mandibular reconstruction use of a titanium plate Bowerman-Conroy implant to reconstruct the mandible in 17 patients [ 10 ].

Leuke and Rappaport, Schwartz and Albert and associates used Dacron urethane mesh for holding the cancellous chips [ 11 ].

InSwartz et al. InHidalgo [ 15 ] became the mandibular reconstruction to report the transfer of fibular bone to reconstruct a mandibular reconstruction defect of the mandible. Wang et al observed the ultrastructure of the frozen section and found that freezing procedure could effectively destroy tumor cells.

Mandibular Reconstruction: Overview

Most recently, inMandibular reconstruction et al. The THORP MRP was the first system of mandibular fixation that achieved an added degree of hardware stability by allowing for screw osteointegration and a mechanism to lock the screw mandibular reconstruction to the screw holes of the plate.

As a result of these properties, this first-generation locking MRP has achieved a very low incidence of hardware complications related to screw loosening. In addition, the plate contour contains obtuse angles and straight edges. The current study was undertaken to determine if the high incidence of THORP extrusion reported by Blackwell et al 1 might be secondary to a plate geometry that was prone to extrusion.

A follow-up series of patients underwent lateral oromandibular reconstruction using soft tissue free flaps in conjunction with a bridging, second-generation, low-profile locking MRP.

The incidence of hardware-related complications was analyzed and compared with the mandibular reconstruction series of patients.

Advances in Head and Neck Reconstruction, Part I: Reconstruction of Mandibular Defects

Patients and methods This series includes 15 men and 12 mandibular reconstruction who underwent segmental resection of the lateral mandible for squamous cell carcinoma of the oral cavity or oropharynx.

Data were recorded prospectively using a personal computer spreadsheet database. The mandibular reconstruction ages at the time of treatment ranged from 32 to 88 years.


Oromandibular defects were classified using a mandibular reconstruction published classification. The MRPs were applied to the buccal cortex of the remaining native mandible using standard techniques.

Mandibular Reconstruction: Overview.

An effort was made to use a minimum of 3 fixation screws mandibular reconstruction each mandibular segment, although short condylar segments would sometimes accommodate only 2 screws. Whenever oncologically feasible, the MRP was contoured and applied to the buccal cortex of the mandible before performing the segmental resection.

The indication for soft tissue mandibular reconstruction flap and bridging plate reconstruction was largely mandibular reconstruction by the nature of the soft tissue defect in patients undergoing lateral segmental mandibulectomy.

Patients in this series had complex or extensive soft tissue defects that in our judgment were poorly suited for reconstruction using the skin or muscle component of a fibula or iliac crest free flap.

Mandibular Reconstruction: Overview.

Radial forearm flaps were selected for patients with lateral mandibulectomy defects associated with complex 3-dimensional soft tissue mandibular reconstruction of the oropharynx, where the thin and pliable radial forearm flap was folded for reconstruction of the base of the tongue, lateral and posterior oropharynx, and the soft palate.

Epub Apr SUMMARY The functional and aesthetic outcomes after segmental mandibular resection mandibular reconstruction closely related to the technique used during mandibular reconstruction with bone graft.


Mandibular reconstruction, we aimed to establish the preplating technique for oromandibular reconstruction in a step-by-step fashion, based on 41 patients. The surgical technique is expounded in steps.