Abstract
Introduction: The rate of complications for mandibular reconstruction after segmental mandibulectomy is higher with reconstruction plates than with vascularised bone grafts. We have experience of over 100 patients using reconstructive plates for reconstruction immediately after segmental mandibulectomy and have considered factors contributing to plate exposure. Patients and methods: Seventeen cases utilised our prevention methods in which reconstructive plates were used for mandibular reconstruction were reviewed. The flaps used with reconstruction plates were rectus abdominis myocutanenous flaps in 10 cases, anterolateral thigh flaps combined vastus lateralis muscle in four cases, and the omentum in one case; no flap was transferred in two cases. Results: In only one of 17 cases was a plate exposed at 3 months postoperatively. No plate exposure occurred during the follow-up period in the other 16 cases. Because no flap had been transferred in the patient with plate exposure, a possible contributing factor was the persistence of dead space beneath the plate. Conclusion: This series suggests that factors other than flap selection contribute to the exposure of reconstructive plates. Use of a reconstruction plate is a useful reconstructive method, especially for patients who cannot tolerate transfer of a vascularised bone graft.
| Original language | English |
|---|---|
| Journal | Journal of Cranio-Maxillofacial Surgery |
| Volume | 40 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Dec 2012 |
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Keywords
- Complication
- Mandibular reconstruction
- Preventing plate exposure
- Reconstruction plate
- Vascularised bone grafts
ASJC Scopus subject areas
- Oral Surgery
- Otorhinolaryngology
- Surgery
Cite this
Prevention points for plate exposure in the mandibular reconstruction. / Onoda, Satoshi; Kimata, Yoshihiro; Yamada, Kiyoshi; Sugiyama, Narushi; Onoda, Tomoo; Eguchi, Motoharu; Mizukawa, Nobuyoshi.
In: Journal of Cranio-Maxillofacial Surgery, Vol. 40, No. 8, 12.2012.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevention points for plate exposure in the mandibular reconstruction
AU - Onoda, Satoshi
AU - Kimata, Yoshihiro
AU - Yamada, Kiyoshi
AU - Sugiyama, Narushi
AU - Onoda, Tomoo
AU - Eguchi, Motoharu
AU - Mizukawa, Nobuyoshi
PY - 2012/12
Y1 - 2012/12
N2 - Introduction: The rate of complications for mandibular reconstruction after segmental mandibulectomy is higher with reconstruction plates than with vascularised bone grafts. We have experience of over 100 patients using reconstructive plates for reconstruction immediately after segmental mandibulectomy and have considered factors contributing to plate exposure. Patients and methods: Seventeen cases utilised our prevention methods in which reconstructive plates were used for mandibular reconstruction were reviewed. The flaps used with reconstruction plates were rectus abdominis myocutanenous flaps in 10 cases, anterolateral thigh flaps combined vastus lateralis muscle in four cases, and the omentum in one case; no flap was transferred in two cases. Results: In only one of 17 cases was a plate exposed at 3 months postoperatively. No plate exposure occurred during the follow-up period in the other 16 cases. Because no flap had been transferred in the patient with plate exposure, a possible contributing factor was the persistence of dead space beneath the plate. Conclusion: This series suggests that factors other than flap selection contribute to the exposure of reconstructive plates. Use of a reconstruction plate is a useful reconstructive method, especially for patients who cannot tolerate transfer of a vascularised bone graft.
AB - Introduction: The rate of complications for mandibular reconstruction after segmental mandibulectomy is higher with reconstruction plates than with vascularised bone grafts. We have experience of over 100 patients using reconstructive plates for reconstruction immediately after segmental mandibulectomy and have considered factors contributing to plate exposure. Patients and methods: Seventeen cases utilised our prevention methods in which reconstructive plates were used for mandibular reconstruction were reviewed. The flaps used with reconstruction plates were rectus abdominis myocutanenous flaps in 10 cases, anterolateral thigh flaps combined vastus lateralis muscle in four cases, and the omentum in one case; no flap was transferred in two cases. Results: In only one of 17 cases was a plate exposed at 3 months postoperatively. No plate exposure occurred during the follow-up period in the other 16 cases. Because no flap had been transferred in the patient with plate exposure, a possible contributing factor was the persistence of dead space beneath the plate. Conclusion: This series suggests that factors other than flap selection contribute to the exposure of reconstructive plates. Use of a reconstruction plate is a useful reconstructive method, especially for patients who cannot tolerate transfer of a vascularised bone graft.
KW - Complication
KW - Mandibular reconstruction
KW - Preventing plate exposure
KW - Reconstruction plate
KW - Vascularised bone grafts
UR - http://www.scopus.com/inward/record.url?scp=84869491385&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84869491385&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2012.01.013
DO - 10.1016/j.jcms.2012.01.013
M3 - Article
C2 - 22525568
AN - SCOPUS:84869491385
VL - 40
JO - Journal of Cranio-Maxillo-Facial Surgery
JF - Journal of Cranio-Maxillo-Facial Surgery
SN - 1010-5182
IS - 8
ER -