Document Detail


Oromandibular reconstruction using titanium plate and pectoralis major myocutaneous flap.
MedLine Citation:
PMID:  18198751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess whether locking-screw titanium plates (UniLOCK) and pedicled pectoralis major myocutaneous flaps are a valid alternative to complex reconstruction with bony free flaps in poor prognosis or poor performance status oncological patients with mandibular defects, a retrospective evaluation has been made of outcomes in 27 consecutive cases. No patient died perioperatively. Mean operating time was 270 minutes. Post-operative course was uneventful in 14. Mean follow-up was 13 months with no loss to follow-up. Twelve patients are alive and well, 12 died from their malignancy, two from non-neoplastic causes, and one from second cancer. Plate exposure - the main problem with bridging plates - occurred in 6 (22%, 4 early, 2 late), 4 with symphyseal and 2 with postero-lateral defects: removal was necessary in 2; 2 died with the plate exposed, and 2 had successful re-coverage, increasing the final success rate from 78% to 85%. Most patients considered the aesthetic outcome acceptable, however all edentulous patients complained of unsatisfactory dental rehabilitation. From the acceptable success rate, it may be concluded that bridging plates represent a useful reconstruction method, provided they are well covered by viable muscular tissue. They should be offered to patients contraindicated for more invasive procedures or with limited functional needs, or poor prognosis.
Authors:
P Salvatori; E Motto; S Paradisi; A Zani; S Podrecca; R Molinari
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale     Volume:  27     ISSN:  0392-100X     ISO Abbreviation:  Acta Otorhinolaryngol Ital     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2008-01-17     Completed Date:  2008-03-06     Revised Date:  2013-03-21    
Medline Journal Info:
Nlm Unique ID:  8213019     Medline TA:  Acta Otorhinolaryngol Ital     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  227-32     Citation Subset:  IM    
Affiliation:
Department of Head and Neck Surgery, Galeazzi Orthopedic Institute, Milan, Italy. pietro.salvatori@fastwebnet.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biocompatible Materials
Female
Head and Neck Neoplasms / surgery*
Humans
Male
Mandible / surgery*
Middle Aged
Neoplasm Staging
Pectoralis Muscles / transplantation*
Reconstructive Surgical Procedures / methods*
Skin Transplantation / methods*
Surgical Flaps*
Titanium / therapeutic use*
Chemical
Reg. No./Substance:
0/Biocompatible Materials; 7440-32-6/Titanium
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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