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J Reconstr Microsurg 1998; 14(1): 3-10
DOI: 10.1055/s-2007-1006894
ORIGINAL ARTICLE

© 1998 by Thieme Medical Publishers, Inc.

Lag-Screw Technique in Free Osseous Mandibular Reconstruction

Peter J. Capizzi, William M. Jacobsen, N. Bradly Meland, Anthony A. Smith
  • Division of Plastic and Reconstructive Surgery, Mayo Clinic Scottsdale, Scottsdale, Arizona
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Publication History

Accepted for publication 1997

Publication Date:
08 March 2008 (online)

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ABSTRACT

The surgical registry was reviewed for mandibular reconstruction from 1988 to 1992. During this time. 51 patients underwent mandibular reconstruction. Of this group, 17 patients had their microvascularbone grafts secured with lag-screw fixation. An AO technique, utilizing 2.7-mm cortical screws, was used to provide rigid fixation. Mandibular defects ranged from 6 to 20 cm. AO vas-cularized bone grafts were studied with bone scans and remained viable. Follow-up reveak flap losses or oral cutaneous fistulae. Lag-screw fixation, in conjunction with mandibular reconstruction, results in rigid fixation, obviates the need for mandibulamaxillary fixation, has the advantage of ease of application, and is safe louse.

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