Mandibular reconstruction in 2004: An analysis of different techniques

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 12, Issue 4, 2004, Pages 288-293

  Mehta, Ritvik P ^a   Deschler, Daniel G ^a,b  

^a HARVARD MEDICAL SCHOOL   (United States)

^b MASSACHUSETTS EYE AND EAR INFIRMARY   (United States)

Author keywords

Free tissue transfer; Mandibular reconstruction; Reconstruction plates; Vascularized bone graft

Indexed keywords

STEEL; TITANIUM;

BONE GRAFT; BONE PLATE; BONE SCREW; CANCER SURGERY; DISTRACTION OSTEOGENESIS; FIBULA; FOLLOW UP; FREE TISSUE GRAFT; HEAD AND NECK SURGERY; HUMAN; ILIAC CREST; IMPLANT; JOINT PROSTHESIS; MANDIBLE RECONSTRUCTION; MOUTH CANCER; OROPHARYNX CANCER; PERIOSTEUM; PRIORITY JOURNAL; RADIUS; REVIEW; SCAPULA; SOFT TISSUE; SURGICAL TECHNIQUE; TEMPOROMANDIBULAR JOINT; TOOTH IMPLANTATION; TREATMENT OUTCOME;

BONE TRANSPLANTATION; HUMANS; MANDIBLE; OSTEOGENESIS, DISTRACTION; RECONSTRUCTIVE SURGICAL PROCEDURES; SURGICAL FLAPS; TISSUE SURVIVAL; TREATMENT OUTCOME;

EID: 3242809745     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.moo.0000131444.50445.9d     Document Type: Review

References (36)

1. Foster RD, Anthony JP, Sharma A, Pogrel MA: Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: an outcome analysis of primary bony union and endosseous implant success. Head Neck 1999, 21:66-71.
2. Cordeiro PG, Disa JJ, Hidalgo DA, Hu QY: Reconstruction of the mandible with osseous free flaps: a 10-year experience with 10 consecutive patients. Plast Reconstr Surg 1999, 104:1314-1320.
3. rd edition. Edited by Cummings CC. St Louis: Mosby Year Book, Inc.; 1998: 1654-1668.
4. Urken ML, Weinberg H, Vickery C, et al.: Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg 1991, 117:733-744.
5. Genden E, Haughey BH: Mandibular reconstruction by vascularized free tissue transfer. Am J Otolaryngol 1996, 17:219-227.
6. Koch WM, Yoo GH, Goodstein ML, et al.: Advantages of mandibular reconstruction with the Titanium Hollow Screw Osseointegrating Reconstruction Plate (THORP). Laryngoscope 1994, 104:545-552.
7. Poli T, Ferrari S, Biancha B, Sesenna E: Primary oromandibular reconstruction using free flaps and THORP plates in cancer patients: a 5-year experience. Head Neck 2003, Jan:15-23. A good retrospective review of the long-term stability and possible complications of mandibular reconstruction using mandibular reconstruction plates.
8. deMello FV, Auader M, Cano E, et al.: Effect of mandibular titanium reconstructive plates on radiation dose. Am J Otolaryngol. 2003, 24:231-235. This study answers the question that mandibular titanium reconstruction plates have no significant influence on radiation doses.
9. Wei FC, Celik N, Yang WG, et al.: Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap. Plast Reconstr Surg 2003, 112:37-42. Another good study pointing out the late complications of plate mandibular reconstruction and salvage by osseous free tissue transfer.
10. Head C, Alam D, Sercarz JA, et al.: Microvascular flap reconstruction of the mandible: A comparison of bone grafts and bridging plates for restoration of mandibular continuity. Otolaryngol Head Neck Surg 2003, 129:48-54. This is an excellent prospective study comparing mandibular reconstruction by vascularized bone grafts versus bridging reconstruction plates. The study shows a higher rate of delayed complications with bridging reconstruction plates making microvascular reconstruction the preferred technique.
11. Yokoo S, Komori T, Furudoi S, et al.: Indications for vascularized free rectus abdominis musculocutaneous flap in oromandibular region in terms of efficiency of anterior rectus sheath. Microsurgery 2003, 23:96-102.
12. Alpert B, Gutwald R, Schmelzeisen R: New innovations in craniomaxillofacial fixation: the 2.0 lock system. Keio J Med 2003, 52:120-127. This paper describes the latest innovation of self-drilling, self-tapping screws and locking miniplates available for mandibular surgery.
13. Burkey BB, Coleman JR: Current concepts in oromandibular reconstruction. Otolaryngol Clin N Am 1997, 30:607-630.
14. Hidalgo DA, Pusic AL: Free-flap mandibular reconstruction: a 10-year follow-up study. Plast Reconstr Surg 2002, 110:438-449. This is the first study to demonstrate the long-term success of mandibular reconstruction with osteocutaneous free tissue transfer. It offers strong support for the longevity of improved quality of life in patients who undergo successful free flap reconstruction.
15. Robb G: Abstract commentary on "Free-flap mandibular reconstruction: a 10-year follow-up study". Arch Facial Plast Surg 2004, 6:65-66. This is a commentary on Hidalgo's 10-year long-term follow up study of free flap mandibular reconstruction. It highlights their data from many angles: functional and aesthetic outcomes, tolerance of free tissue transfer to radiation therapy, successful management of the temporomandibular joint, and durability of osseointegrated implants.
16. Lorenz RR, Esclamado R: Preoperative magnetic resonance angiography in fibular-free flap reconstruction of head and neck defects. Head Neck 2001, 23:844-850.
17. Chang YM, Chana JS, Wei FC, et al.: Osteotomy to treat malocclusion following reconstruction of the mandible with the free fibula flap. Plast Reconstr Surg 2003, 112:31-36. This paper demonstrates a technique to manage malocclusion following fibula free flap mandibular reconstruction.
18. Deschler DG, Hayden RE: The optimum method for reconstruction of complex lateral oromandibular-cutaneous defects. Head Neck 2000, 22:674-679.
19. Krimmel M, Hoffman J, Zerfowski M, Reinert S: Central resorption in an iliac crest transplant with microvascular anastomosis - report of 2 cases. J Craniomaxillofac Surg 2003, 31:176-178.
20. Rogers SN, Lakshmiah SR, Narayan B, et al.: A comparison of the long-term morbidity following deep circumflex iliac and fibula free flaps for reconstruction following head and neck cancer. Plast Reconstr Surg 2003, 112:1517-1525. This is a retrospective review comparing the long-term morbidity of iliac crest versus fibula free flaps. Overall, both iliac crest and fibula donor sites have acceptable and comparable morbidity for most patients.
21. Werle AH, Tsue TT, Toby EB, Girod DA: Osteocutaneous radial forearm free flap: its use without significant donor site morbidity. Otolaryngol Head Neck Surg 2000, 123:711-717.
22. st edition. Edited by Cheney ML. Baltimore: Williams and Wilkins; 1997: 525-546.
23. Sicilia Castro D, Garcia Perla A, Infante Cossio P, et al.: Combined fibula osteoseptocutaneous-lateral supramalleolar flap for reconstruction of composite mandibular defects. Plast Reconstr Surg 2003, 111:2003-2008. This is the first report of harvesting two adjoining flaps with the same vascular axis for greater versatility in oromandibular reconstruction.
24. Buchbinder D, Urken ML, Vickery C, et al.: Bone contouring and fixation in functional, primary microvascular mandibular reconstruction. Head Neck 1991, 13:191-199.
25. Ung F, Rocco JW, Deschler DG: Temporary intraoperative external fixation in mandibular reconstruction. Laryngoscope 2002, 112:1569-1572.
26. Kelley P, Klebuc M, Hollier L: Complex midface reconstruction: maximizing contour and bone graft survival utilizing periosteal free flaps. J Craniofac Surg 2003, 14:779-782. This paper demonstrates the utility of periosteal free flaps as a way of vascularizing bone flaps to maximize contour.
27. Scher E, Holmes S: Simplified transfer of intraoral bone grafts in ridge-augmentation procedures. Implant Dent 2003, 12:113-115.
28. Nevins M: Treatment of the Atrophic Mandibular Ridge. Int J Oral Maxillofac Implant. 2003, 18:765.
29. Chang YM, Chana JS, Wei FC, et al.: Use of waxing screws for accurate primary placement of endosteal implants in the vascularized fibular bone-reconstructed mandible. Plast Reconstr Surg 2003, 111:1693-1696. This paper describes a technique for accurate primary placement of endosseous implants during fibula free flap mandibular reconstruction.
30. Leung AC, Cheung KL: Dental implants in reconstructed jaws: patients' evaluation of functional and quality-of-life outcomes. J Oral Maxillofac Implant. 2003, 18:127-134. This is a long-term quality of life study evaluating endosseous implants. The authors show that a majority of patients have excellent esthetic and functional outcomes.
31. Wolford LM, Dingwerth DJ, Talwar RM, Pitta MC: Comparison of 2 temporomandibular joint total joint prosthesis systems. J Oral Maxillofac Surg 2003, 61:685-690.
32. Collins CP, Wilson KJ, Collins PC: Lateral pterygoid myotomy with reattachment to the condylar neck: an adjunct to restore function after total joint reconstruction. Oral Surg Oral Med Oral Pathol 2003, 95:672-673.
33. Imola MJ, Hamlar DD, Thatcher G, Chowdhury K: The versatility of distraction osteogenesis in craniofacial surgery. Arch Facial Plast Surg 2002, 4:8-19.
34. Kessler P, Schultze-Mosgau S, Wilhelm-Neukam F, Wiltfang J: Lengthening of the reconstructed mandible using extraoral distraction devices: report of five cases. Plast Reconstr Surg 2003, 111:1400-1406. An excellent paper outlining the use of distraction osteogenesis for selected patients after vascularized osseous free tissue transfer for mandibular reconstruction.
35. Rohner D, Jaquiery C, Kunz C, et al.: Maxillofacial reconstruction with prefabricated osseous free flaps: A 3-year experience with 24 patients. Plast Reconstr Surg 2003, 112:748-757. This paper highlights the authors' experience with prefabrication of the osseous free flap with endosseous implants at the donor site.
36. Trantolo DJ, Sonnis ST, Thompson BMJ, et al.: Evaluation of a porous, biodegradable biopolymer scaffold for mandibular reconstruction. Int J Oral Maxillofac Implant. 2003, 18:182-188. This paper evaluates the possibility of using a bioresorbable scaffold acting as a bone graft substitute in an animal model. This type of research may eventually lead to a viable alternative to autografts and allografts for mandibular reconstruction.