Mandible reconstruction with microvascular surgery Journal Article
| Authors: | Disa, J. J.; Cordeiro, P. G. |
| Article Title: | Mandible reconstruction with microvascular surgery |
| Abstract: | Microvascular surgery has become the preferred method for mandible reconstruction. Whenever possible, immediate reconstruction at the time of segmental mandible resection will provide the best aesthetic and functional result. Four donor sites (fibula, iliac crest, radial forearm, and scapula) have become the primary sources of vascularized bone and soft tissue for the reconstruction. The fibula has multiple advantages, including bone length and thickness, donor site location permitting flap harvest simultaneously with tumor resection, and minimal donor site morbidity. The fibula donor site should be the first choice for most defects, particularly those with anterior or large bony defects requiring multiple osteotomies. Use of an alternative donor site is best reserved for cases with large soft tissue and minimal bone requirements. Dental rehabilitation through the use of prostheses and osseointegrated dental implants is an important part of the reconstructive process to optimize aesthetics and function. An algorithm for mandible reconstruction with microvascular osseous flaps is presented. © 2000 Wiley-Liss, Inc. |
| Keywords: | treatment outcome; cancer surgery; surgical technique; bone transplantation; reconstructive surgical procedures; review; donor site; microvascular surgery; surgical flaps; morbidity; microsurgery; vascularization; postoperative complications; soft tissue; prosthesis; esthetic surgery; mandible; bone defect; fibula; mandibular neoplasms; osteotomy; bone regeneration; mandible reconstruction; tooth implantation; forearm; scapula; iliac crest; mandible cancer; humans; human; priority journal; mandible/surgery; dental prosthesis |
| Journal Title: | Seminars in Surgical Oncology |
| Volume: | 19 |
| Issue: | 3 |
| ISSN: | 8756-0437 |
| Publisher: | John Wiley & Sons |
| Date Published: | 2000-10-01 |
| Start Page: | 226 |
| End Page: | 234 |
| Language: | English |
| DOI: | 10.1002/1098-2388(200010/11)19:3<226::aid-ssu4>3.0.co;2-n |
| PUBMED: | 11135479 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 18 November 2015 -- Source: Scopus |
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