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Reconstruction of the mandible with conventional bone graft: an evaluation

Published online by Cambridge University Press:  29 June 2007

Rammohan Tiwari ,
Gordon B. Snow  and
Isaac van der Waal
Rammohan Tiwari*
Affiliation:
Department of Otolaryngology/Head and Neck Surgery and the Department of Oral Surgery, Free University Hospital, Amsterdam, The Netherlands.
Gordon B. Snow
Affiliation:
Department of Otolaryngology/Head and Neck Surgery and the Department of Oral Surgery, Free University Hospital, Amsterdam, The Netherlands.
Isaac van der Waal
Affiliation:
Department of Otolaryngology/Head and Neck Surgery and the Department of Oral Surgery, Free University Hospital, Amsterdam, The Netherlands.
*
R. M. Tiwari, Department of Otolaryngology/Head and Neck Surgery, Free University Hospital, de Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
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Abstract

Eighteen patients with bony defects of the mandible had the mandible reconstructed using conventional nonvascularized bone grafts from the iliac crest. After surgery they received radiotherapy for cancer in the oropharynx or oral cavity. This study was carried out over a 10-year period. All patients were followed-up both for their tumour growth and the results of their reconstruction. Four to 10 years after surgery 55.5 per cent were alive and well. Full dental rehabilitation was achieved in 33 percent and 12.5 percent were without dental rehabilitation.

Keywords

MandibleBone transplantation

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 11 , November 1994 , pp. 969 - 972
Copyright
Copyright © JLO (1984) Limited 1994

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References

Berggren, A., Weiland, A. J., Ostrup, L. T. (1982) Bone scintigraphy in evaluating the viability of composite bone grafts revascularized by microvascular anastomoses, conventional autogenous bone grafts and free non-revascularized periosteal grafts. Journal of Bone and Joint Surgery 64: 799–809.CrossRefGoogle ScholarPubMed
Burn well, R. G. (1964) Studies in transplantation of bone. The fresh composite homograft-autograft of cancellous bone. Journal of Bone and Joint Surgery 46 (b): 110–154.Google Scholar
Cook, J. A., Jones, A. S., Philips, D. E., Soler Lluch, E. (1993) Implications of tumour in resection margins following surgical treatment of squamous cell carcinoma of the head and neck. Clinical Otolaryngology 18: 37–41.CrossRefGoogle ScholarPubMed
Ewing, M. R. (1954) Surgical treatment of oral cancer. British Journal of Plastic Surgery 7: 108.CrossRefGoogle ScholarPubMed
Goode, R. L. (1976) Laryngeal suspension in head and neck surgery. Laryngoscope 93: 26–31.Google Scholar
Green, M. F., Gibson, J. R., Bryson, J. R., Thomson, E. (1981) A one-stage correction of mandibular defects using a split sternum pectoralis major osteomusculocutaneous transfer. British Journal of Plastic Surgery 34: 11–16.CrossRefGoogle ScholarPubMed
Gullane, P. J. (1991) Primary mandibular reconstruction. Analysis of 64 cases and evaluation of interface radiation dosimetry on bridging plates. Laryngoscope 101 (suppl. 54): 1–24.CrossRefGoogle ScholarPubMed
Hamblen, D. L. (1978) Bone. In Jamieson and Kays Textbook of Surgical Physiology. 3rd Edition. (Ledingham, A., Mackay, C., eds.), Churchill-Livingston, Edinburgh, pp 194–209.Google Scholar
Hidalgo, D. A. (1989) Fibula free flap: a new method of mandible reconstruction. Plastic and Reconstructive Surgery 84: 71–79.CrossRefGoogle ScholarPubMed
Leeb, D. C, Ben Hur, N., Mazarella, L. (1977) Reconstruction of the floor of the mouth with a free dorsalis pedis flap. Plastic and Reconstructive Surgery 59: 379–381.CrossRefGoogle ScholarPubMed
McGregor, A. D., MacDonald, A. G. (1988) Routes of entry of squamous cell carcinoma to the mandible. Head and Neck Surgery 10: 294–301.CrossRefGoogle ScholarPubMed
Marx, R. E., Kleine, S. N. (1983) Principles and techniques of bony reconstruction in cancer patients. In International Advances in Surgical Oncology. (Murphy, G. P., ed.) A. H. Liss and Co., New York, pp 167–228.Google Scholar
Siemssen, S. O., Kirkby, B., O'Connor, T. P. F. (1978) Immediate reconstruction of a resected segment of the lower jaw using a compound flap of clavicle and sternomastoid muscle. Plastic Reconstructive Surgery 61: 724–735.CrossRefGoogle ScholarPubMed
Snow, G. B., Kruisbrink, J. J., van Slooten, E. A. (1976) Reconstruction after mandibulectomy for cancer. Archives of Otolaryngology 102: 207–210.CrossRefGoogle ScholarPubMed
Soutar, D. S., Scheker, L. R., Tanner, N. S., McGregor, I. A. (1983) The radial forearm flap: a versatile method for intraoral reconstruction. British Journal of Plastic Surgery 36: 1–8.CrossRefGoogle Scholar
Soutar, D. S., Widdowson, W. P. (1986) Immediate reconstruction of the mandible using a vascularized segment of radius. Head and Neck Surgery 8: 232–246.CrossRefGoogle ScholarPubMed
Swartz, W. M., Banis, J. C, Newton, E. D., Ramasastry, S. S., Jones, N. F., Acland, R. (1986) The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plastic and Reconstructive Surgery 77: 530–545.CrossRefGoogle ScholarPubMed
Taylor, G. I. (1982) Reconstruction of the mandible with free composite iliac bone grafts. Annals of Plastic Surgery 9: 361–376.CrossRefGoogle ScholarPubMed
Tiwari, R. M., Snow, G. B. (1983) Role of myocutaneous flaps in reconstruction of the head and neck. Journal of Laryngology and Otology 97: 441–458.CrossRefGoogle ScholarPubMed
Urken, M. L., Vickery, C., Weinberg, H., Buchbinder, D., Lawson, W., Biller, H. F. (1989) The internal oblique iliac crest osseomyocutaneous free flap in oromandibular reconstruction. Archives of Otolaryngology, Head and Neck Surgery 115: 339–349.CrossRefGoogle ScholarPubMed
Vikram, B., Strong, E. W., Shah, J. P., Spiro, R. (1980) Elective postoperative radiation therapy in stages III and IV epidermoid carcinoma of the head and neck. American Journal of Surqerv 140: 580–584.CrossRefGoogle ScholarPubMed
Wersall, J., Bergstedt, H., Korlof, B., Lind, M. G. (1984) Split rib graft for reconstruction of the mandible. Otolaryngology-Head and Neck Surgejy 92: 270–276.CrossRefGoogle ScholarPubMed