Reconstruction of the segmental mandibular defect: current state of the art.

Abstract:

PURPOSE OF REVIEW:This article reviews literature pertaining to advances in the reconstruction of segmental mandibular defects in the context of an established standard of care, microvascular transfer of free osteocutaneous flaps. RECENT FINDINGS:Most literature reiterates established reconstructive techniques. Exceptions include the use of computer-assisted modeling to preoperatively design the excision of both the mandible and fibula segments and to produce a template for contouring the neomandible, the design of new flaps, distraction osteogenesis and techniques for dealing with osteonecrosis. SUMMARY:The microvascular transfer of free osteocutaneous flaps remains the standard of care, with the fibula flap the clear favorite. Review of the evolution of this flap for segmental mandibular reconstruction provides the bulk of the literature. Improvement on this standard of practice continues to be elusive, in large part because of the effects of associated radiation. Tissue engineering holds promise but no current practical application is available.

authors

Hayden RE,Mullin DP,Patel AK

doi

10.1097/MOO.0b013e328355d0f3

subject

Has Abstract

pub_date

2012-08-01 00:00:00

pages

231-6

issue

4

eissn

1068-9508

issn

1531-6998

pii

00020840-201208000-00003

journal_volume

20

pub_type

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