Mandibular reconstruction

Since the introduction of free tissue transfer, surgical techniques for mandibular reconstruction have continued to evolve at a rapid pace, leading to improved functional and aesthetic outcomes for patients. Several large series have reported excellent results with a variety of free flap osseous donor sites, establishing microvascular free tissue transfer with bone as the gold standard for reconstruction of the mandible [1 –4]. This review will cover current techniques for the reconstruction of mandibular defects, including the various plating strategies for rigid fixation, the choice of osseous donor site, and the concurrent reconstruction of associated soft tissue defects.

Source: Oral Oncology - January 3, 2018 Category: Cancer & Oncology Authors: Kiran Kakarala, Yelizaveta Shnayder, Terance T. Tsue, Douglas A. Girod Source Type: research