MISC

2012年12月

Prevention points for plate exposure in the mandibular reconstruction

JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
  • Satoshi Onoda
  • ,
  • Yoshihiro Kimata
  • ,
  • Kiyoshi Yamada
  • ,
  • Narushi Sugiyama
  • ,
  • Tomoo Onoda
  • ,
  • Motoharu Eguchi
  • ,
  • Nobuyoshi Mizukawa

40
8
開始ページ
E310
終了ページ
E314
記述言語
英語
掲載種別
DOI
10.1016/j.jcms.2012.01.013
出版者・発行元
CHURCHILL LIVINGSTONE

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. (C) 2012 European Association for Cranio-Maxillo-Facial Surgery.

Web of Science ® 被引用回数 : 22

リンク情報
DOI
https://doi.org/10.1016/j.jcms.2012.01.013
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000209175700015&DestApp=WOS_CPL

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