Free-Flap Reconstruction of the Mandible

Roderick Y. Kim; Mofiyinfolu Sokoya; Yadranko Ducic; Fayette Williams

doi:10.1055/s-0039-1677791

Seminars in Plastic Surgery, Inhaltsverzeichnis

Semin Plast Surg 2019; 33(01): 046-053
DOI: 10.1055/s-0039-1677791

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Free-Flap Reconstruction of the Mandible

Roderick Y. Kim

¹Division of Maxillofacial Oncologic and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas

,

Mofiyinfolu Sokoya

²Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Yadranko Ducic

²Department of Facial Plastic and Reconstructive Surgery, Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas

,

Fayette Williams

¹Division of Maxillofacial Oncologic and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, Texas

› Institutsangaben

Abstract

Mandible reconstruction has evolved over the years with advances in surgical options and three-dimensional technology. Although nonvascularized bone grafting is still used, vascularized flaps show advantages with immediate reconstruction, the possibility of immediate dental implants, and the ability to reconstruct composite defects of both soft tissue and bone. This article discusses current vascularized techniques for mandible reconstruction. While each reconstructive method has advantages and disadvantages, a defect-based reconstruction focused on full rehabilitation allows surgeons to plan and counsel the patient for the best available reconstruction.

Keywords

mandible reconstruction - free flaps - complications

Volltext

Referenzen

References
1 Urken ML, Weinberg H, Vickery C, Buchbinder D, Lawson W, Biller HF. Oromandibular reconstruction using microvascular composite free flaps. Report of 71 cases and a new classification scheme for bony, soft-tissue, and neurologic defects. Arch Otolaryngol Head Neck Surg 1991; 117 (07) 733-744
2 Brown JS, Barry C, Ho M, Shaw R. A new classification for mandibular defects after oncological resection. Lancet Oncol 2016; 17 (01) e23-e30
3 Marx RE, Cillo Jr JE, Broumand V, Ulloa JJ. Outcome analysis of mandibular condylar replacements in tumor and trauma reconstruction: a prospective analysis of 131 cases with long-term follow-up. J Oral Maxillofac Surg 2008; 66 (12) 2515-2523
4 Fernandes RP, Yetzer JG. Reconstruction of acquired oromandibular defects. Oral Maxillofac Surg Clin North Am 2013; 25 (02) 241-249
5 Schrag C, Chang YM, Tsai CY, Wei FC. Complete rehabilitation of the mandible following segmental resection. J Surg Oncol 2006; 94 (06) 538-545
6 Urken ML, Buchbinder D, Costantino PD. , et al. Oromandibular reconstruction using microvascular composite flaps: report of 210 cases. Arch Otolaryngol Head Neck Surg 1998; 124 (01) 46-55
7 Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 1975; 55 (05) 533-544
8 Halim AS, Yusof I. Composite vascularised osteocutaneous fibula and sural nerve graft for severe open tibial fracture–functional outcome at one year: a case report. J Orthop Surg (Hong Kong) 2004; 12 (01) 110-113
9 Hsu LC, O'Brien JP, Yau AC, Hodgson AR. Valgus deformity of the ankle in children with fibular pseudarthrosis. Results of treatment by bone-grafting of the fibula. J Bone Joint Surg Am 1974; 56 (03) 503-510
10 Ducic Y, Defatta R, Wolfswinkel EM, Weathers WM, Hollier Jr LH. Tunneling technique for expedited fibula free tissue harvest. Craniomaxillofac Trauma Reconstr 2013; 6 (04) 233-236
11 Silverman DA, Przylecki WH, Arganbright JM. , et al. Evaluation of bone length and number of osteotomies utilizing the osteocutaneous radial forearm free flap for mandible reconstruction: an 8-year review of complications and flap survival. Head Neck 2016; 38 (03) 434-438
12 Disa JJ, Cordeiro PG. Mandible reconstruction with microvascular surgery. Semin Surg Oncol 2000; 19 (03) 226-234
13 Chang TY, Lee YC, Lin YC. , et al. Implantable Doppler probes for postoperatively monitoring free flaps: efficacy. A systematic review and meta-analysis. Plast Reconstr Surg Glob Open 2016; 4 (11) e1099
14 Pellini R, Pichi B, Marchesi P, Cristalli G, Deganello A, Spriano G. External monitor for buried free flaps in head and neck reconstructions. Acta Otorhinolaryngol Ital 2006; 26 (01) 1-6
15 Takasu H, Hashikawa K, Nomura T, Sakakibara S, Osaki T, Terashi H. A novel method of noninvasive monitoring of free flaps with near-infrared spectroscopy. Eplasty 2017; 17: e37
16 Hitier M, Cracowski JL, Hamou C, Righini C, Bettega G. Indocyanine green fluorescence angiography for free flap monitoring: a pilot study. J Craniomaxillofac Surg 2016; 44 (11) 1833-1841
17 Müller-Richter U, Betz C, Hartmann S, Brands RC. Nutrition management for head and neck cancer patients improves clinical outcome and survival. Nutr Res 2017; 48: 1-8
18 Han HH, Kim HY, Lee JY. The pros and cons of computer-aided surgery for segmental mandibular reconstruction after oncological surgery. Arch Craniofac Surg 2017; 18 (03) 149-154
19 Rodby KA, Turin S, Jacobs RJ. , et al. Advances in oncologic head and neck reconstruction: systematic review and future considerations of virtual surgical planning and computer aided design/computer aided modeling. J Plast Reconstr Aesthet Surg 2014; 67 (09) 1171-1185
20 Modabber A, Legros C, Rana M, Gerressen M, Riediger D, Ghassemi A. Evaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot study. Int J Med Robot 2012; 8 (02) 215-220
21 Edwards SP. Computer-assisted craniomaxillofacial surgery. Oral Maxillofac Surg Clin North Am 2010; 22 (01) 117-134
22 Markiewicz MR, Miloro M. The evolution of microvascular and microneurosurgical maxillofacial reconstruction. J Oral Maxillofac Surg 2018; 76 (04) 687-699
23 Levine JP, Bae JS, Soares M. , et al. Jaw In A Day: total maxillofacial reconstruction using digital technology. Plast Reconstr Surg 2013; 131 (06) 1386-1391