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DOI: 10.1055/s-0030-1255336
Reconstruction of Mandibular Defects
Publication History
Publication Date:
21 June 2010 (online)
ABSTRACT
Defects requiring reconstruction in the mandible are commonly encountered and may result from resection of benign or malignant lesions, trauma, or osteoradionecrosis. Mandibular defects can be classified according to location and extent, as well as involvement of mucosa, skin, and tongue. Vascularized bone flaps, in general, provide the best functional and aesthetic outcome, with the fibula flap remaining the gold standard for mandible reconstruction. In this review, we discuss classification and approach to reconstruction of mandibular defects. We also elaborate upon four commonly used free osteocutaneous flaps, inclusive of fibula, iliac crest, scapula, and radial forearm. Finally, we discuss indications and use of osseointegrated implants as well as recent advances in mandibular reconstruction.
KEYWORDS
Bone flap - condyle - fibular flap - mandible - osseointegrated implant - osteocutaneous flap
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Christopher J SalgadoM.D.
Division of Plastic Surgery, Department of Surgery, University of Miami Miller School of Medicine
Holtz Children's Center – ET3019, 1611 NW 12th Avenue, Miami, FL 33136
Email: salgado_plastics@hotmail.com