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Semin Plast Surg 2003; 17(4): 363-372
DOI: 10.1055/s-2004-817708
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Principles of Bone Healing and Optimal Methods of Bone Fixation in Head and Neck Reconstruction

Barry L. Eppley1
  • 1Indiana University School of Medicine, Indianapolis, IN
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Publication History

Publication Date:
13 April 2004 (online)

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ABSTRACT

This review of contemporary techniques in facial bone reconstruction is written from the perspective of its specific application to defects from benign or malignant tumor resection. These bone defects pose unique reconstructive considerations because of their frequently large size, exposure to the oral cavity and paranasal sinuses, and potentially compromised wound beds due to radiation or loss of soft tissue lining, or both. The role of vascularized bone flaps, allograft bone, metal plating techniques with advances in fixation biomaterial technology, and distraction osteogenesis is discussed for these facial bone defects.

KEYWORDS

Free flap bone reconstruction - rigid fixation - bone grafts - distraction osteogenesis

REFERENCES

  • 1 Cordeiro P G, Disa J J, Hidalgo D A, Hu Q Y. Reconstruction of the mandible with osseous free flaps: a 10-year experience with 150 consecutive cases.  Plast Reconstr Surg . 1999;  104 1314
    CrossrefPubMedGoogle Scholar
  • 2 Disa J J, Winters R M, Hidalgo D A. Long-term evaluation of bone mass in free fibula flap mandible reconstruction.  Am J Surg . 1997;  174 503
    CrossrefPubMedGoogle Scholar
  • 3 Sakuraba M, Kimata Y, Ota Y. et al . Simple maxillary reconstruction using free tissue transfer and prostheses.  Plast Reconstr Surg . 2003;  111 594
    CrossrefPubMedGoogle Scholar
  • 4 Piantanida R, Roselli R, Pellini R, Ferrario F, Boschini P, Spriano G. Reconstruction of major orbital-maxillary defects with free latissimus dorsi myocutaneous flaps.  Facial Plast Surg . 1999;  15 297
    PubMedGoogle Scholar
  • 5 Coleman III J J, Sultan M R. The bipedicled osteocutaneous scapula flap: a new subscapular system free flap.  Plast Reconstr Surg . 1991;  87 682
    CrossrefPubMedGoogle Scholar
  • 6 Futran N D, Wadsowrth J T, Villaret D, Farwell D G. Midface reconstruction with the fibula free flap.  Arch Otolaryngol Head Neck Surg . 2002;  128 161
    CrossrefPubMedGoogle Scholar
  • 7 Marx R E. Mandibular reconstruction.  J Oral Maxillofac Surg . 1993;  51 466
    PubMedGoogle Scholar
  • 8 Eppley B L. Nonvascularized methods of mandible reconstruction.  Operative Tech Plast Reconstr Surg . 1996;  3 226
    PubMedGoogle Scholar
  • 9 Marx R E, Ames J R. The use of hyperbaric oxygen therapy in bony reconstruction of the irradiated and tissue-deficient patient.  J Oral Maxillofac Surg . 1982;  40 412
    CrossrefPubMedGoogle Scholar
  • 10 Schubert W, Gear A J, Lee C. et al . Incorporation of titanium mesh in orbital and midface reconstruction.  Plast Reconstr Surg . 2002;  110 1022
    CrossrefPubMedGoogle Scholar
  • 11 Herford A S, Ellis III E. Use of a locking reconstruction bone plate/screw system for mandibular surgery.  J Oral Maxillofac Surg . 1998;  56 1261
    CrossrefPubMedGoogle Scholar
  • 12 Shibahara T, Noma H, Furuya Y, Takaki R. Fracture of mandibular reconstruction plates used after tumor resection.  J Oral Maxillofac Surg . 2002;  60 182
    CrossrefPubMedGoogle Scholar
  • 13 Carlson E R. Disarticulation resections of the mandible: a prospective review of 16 cases.  J Oral Maxillofac Surg . 2002;  60 176
    CrossrefPubMedGoogle Scholar
  • 14 Tayapongsak P, Morales M J, Marx R E. Preresection application of reconstruction plates for temporary mandibular reconstruction.  J Oral Maxillofac Surg . 1992;  50 307
    PubMedGoogle Scholar
  • 15 Hidalgo D A. Refinements in mandible reconstruction.  Oper Tech Plast Reconstr Surg . 1996;  3 257
    PubMedGoogle Scholar
  • 16 Klotch D W, Ganey T, Greenburg H, Slater-Haase A. Effects of radiation therapy on reconstruction of mandibular defects with a titanium reconstruction plate.  Otolaryngol Head Neck Surg . 1996;  114 620
    PubMedGoogle Scholar
  • 17 Tams J, Rozema F R, Bos R R, Roodenburg J L, Nikkels P G, Vermey A. Poly(L-lactide) bone plates and screws for internal fixation of mandibular swing osteotomies.  Int J Oral Maxillofac Surg . 1996;  25 20
    PubMedGoogle Scholar
  • 18 Kinoshita Y, Kobayashi M, Hidaka T, Ikada Y. Reconstruction of mandibular continuity defects in dogs using poly (L-lactide) mesh and autogenic particulate cancellous bone and marrow: preliminary report.  J Oral Maxillofac Surg . 1997;  55 718
    CrossrefPubMedGoogle Scholar
  • 19 Salyer K E, Gendler E, Menendez J L. Demineralized perforated bone implants in craniofacial surgery.  J Craniofac Surg . 1992;  3 55
    PubMedGoogle Scholar
  • 20 Marx R E, Carlson E R, Eichstaedt R M, Schimmele S R, Strauss J E, Georgeff K R. Platelet-rich plasma: Growth factor enhancement for bone grafts.  Oral Surg Oral Med Oral Pathol Oral Radiol Endod . 1998;  85 638-646
    PubMedGoogle Scholar
  • 21 Fennis J P, Stoelinga P J, Jansen J A. Mandibular reconstruction: a clinical and radiographic animal study on the use of autogenous scaffolds and platelet-rich plasma.  Int J Oral Maxillofac Surg . 2002;  31 281
    CrossrefPubMedGoogle Scholar
  • 22 Boyne P J. Application of bone morphogenetic proteins in the treatment of clinical oral and maxillofacial osseous defects.  J Bone Joint Surg Am . 2001;  83-ASuppl(Pt 2) S146
    PubMedGoogle Scholar
  • 23 Costantino P D, Friedman C D, Shindo M L, Houston G, Sisson Sr A G. Experimental mandibular regrowth by distraction osteogenesis: long-term results.  Arch Otolaryngol Head Neck Surg . 1993;  119 511
    PubMedGoogle Scholar
  • 24 Sawaki Y, Hagino H, Yamamoto H, Ueda M. Trifocal distraction osteogenesis for segmental mandibular defects: a technical innovation.  J Craniomaxillofac Surg . 1997;  25 310
    PubMedGoogle Scholar
  • 25 Jonsson B, Siemssen S J. Arced segmental mandibular regeneration by distraction osteogenesis.  Plast Reconstr Surg . 1998;  101 1925
    PubMedGoogle Scholar
  • 26 Stucki-McCormick S U, Fox R, Mizrahi R. Transport distraction: mandibular reconstruction.  Oral Maxillofac Surg Clin North Am . 1999;  7 165
    PubMedGoogle Scholar
  • 27 Basa S, Uner E, Citir M, Aras K. Reconstruction of a large mandibular defect by distraction osteogenesis: a case report.  J Oral Maxillofac Surg . 2000;  58 1425
    CrossrefPubMedGoogle Scholar
  • 28 Wang X, Lin Y, Yi B, Chen B, Liang C, Li Z. Distraction osteogenesis in functional reconstruction of mandible defects: report of 6 cases.  Chin J Dent Res . 2000;  3 16
    PubMedGoogle Scholar
  • 29 Kondoh T, Hamada Y, Kamei K, Seto K. Transport distraction osteogenesis following marginal resection of the mandible.  Int J Oral Maxillofac Surg . 2002;  31 675
    CrossrefPubMedGoogle Scholar
  • 30 Kessler P, Schultze-Mosgau S, Neukam F W, Wiltfang J. Lengthening of the reconstructed mandible using extraoral distraction devices: report of five cases.  Plast Reconstr Surg . 2003;  111 1400
    CrossrefPubMedGoogle Scholar
  • 31 Klesper B, Lazar F, Siessegger M, Hidding, Zoller J E. Vertical distraction osteogenesis of fibula transplants for mandibular reconstruction-a preliminary report.  J Craniomaxillofac Surg . 2002;  30 280
    PubMedGoogle Scholar
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