Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study
Identifieur interne : 000425 ( Main/Exploration ); précédent : 000424; suivant : 000426Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study
Auteurs : Akiko Sakakibara [Japon] ; Kazunobu Hashikawa [Japon] ; Satoshi Yokoo [Japon] ; Shunsuke Sakakibara [Japon] ; Takahide Komori [Japon] ; Shinya Tahara [Japon]Source :
- Plastic Surgery International [ 2090-1461 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/893746
PubMed: 25228992
PubMed Central: 4150385
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study</title><author><name sortKey="Sakakibara, Akiko" sort="Sakakibara, Akiko" uniqKey="Sakakibara A" first="Akiko" last="Sakakibara">Akiko Sakakibara</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Hashikawa, Kazunobu" sort="Hashikawa, Kazunobu" uniqKey="Hashikawa K" first="Kazunobu" last="Hashikawa">Kazunobu Hashikawa</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Yokoo, Satoshi" sort="Yokoo, Satoshi" uniqKey="Yokoo S" first="Satoshi" last="Yokoo">Satoshi Yokoo</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma 371-8511, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma 371-8511</wicri:regionArea><wicri:noRegion>Gunma 371-8511</wicri:noRegion></affiliation></author><author><name sortKey="Sakakibara, Shunsuke" sort="Sakakibara, Shunsuke" uniqKey="Sakakibara S" first="Shunsuke" last="Sakakibara">Shunsuke Sakakibara</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Komori, Takahide" sort="Komori, Takahide" uniqKey="Komori T" first="Takahide" last="Komori">Takahide Komori</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Tahara, Shinya" sort="Tahara, Shinya" uniqKey="Tahara S" first="Shinya" last="Tahara">Shinya Tahara</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Plastic Surgery, Japanese Red Cross Kobe Hospital, Kobe 651-0073, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Japanese Red Cross Kobe Hospital, Kobe 651-0073</wicri:regionArea><wicri:noRegion>Kobe 651-0073</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25228992</idno><idno type="pmc">4150385</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4150385</idno><idno type="RBID">PMC:4150385</idno><idno type="doi">10.1155/2014/893746</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000768</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000768</idno><idno type="wicri:Area/Pmc/Curation">000768</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000768</idno><idno type="wicri:Area/Pmc/Checkpoint">000111</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000111</idno><idno type="wicri:Area/Ncbi/Merge">001224</idno><idno type="wicri:Area/Ncbi/Curation">001224</idno><idno type="wicri:Area/Ncbi/Checkpoint">001224</idno><idno type="wicri:doubleKey">2090-1461:2014:Sakakibara A:risk:factors:and</idno><idno type="wicri:Area/Main/Merge">000427</idno><idno type="wicri:Area/Main/Curation">000425</idno><idno type="wicri:Area/Main/Exploration">000425</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Risk Factors and Surgical Refinements of Postresective Mandibular Reconstruction: A Retrospective Study</title><author><name sortKey="Sakakibara, Akiko" sort="Sakakibara, Akiko" uniqKey="Sakakibara A" first="Akiko" last="Sakakibara">Akiko Sakakibara</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Hashikawa, Kazunobu" sort="Hashikawa, Kazunobu" uniqKey="Hashikawa K" first="Kazunobu" last="Hashikawa">Kazunobu Hashikawa</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Yokoo, Satoshi" sort="Yokoo, Satoshi" uniqKey="Yokoo S" first="Satoshi" last="Yokoo">Satoshi Yokoo</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma 371-8511, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, Gunma 371-8511</wicri:regionArea><wicri:noRegion>Gunma 371-8511</wicri:noRegion></affiliation></author><author><name sortKey="Sakakibara, Shunsuke" sort="Sakakibara, Shunsuke" uniqKey="Sakakibara S" first="Shunsuke" last="Sakakibara">Shunsuke Sakakibara</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Komori, Takahide" sort="Komori, Takahide" uniqKey="Komori T" first="Takahide" last="Komori">Takahide Komori</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017</wicri:regionArea><wicri:noRegion>Kobe 650-0017</wicri:noRegion></affiliation></author><author><name sortKey="Tahara, Shinya" sort="Tahara, Shinya" uniqKey="Tahara S" first="Shinya" last="Tahara">Shinya Tahara</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Plastic Surgery, Japanese Red Cross Kobe Hospital, Kobe 651-0073, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery, Japanese Red Cross Kobe Hospital, Kobe 651-0073</wicri:regionArea><wicri:noRegion>Kobe 651-0073</wicri:noRegion></affiliation></author></analytic><series><title level="j">Plastic Surgery International</title><idno type="ISSN">2090-1461</idno><idno type="eISSN">2090-147X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Background.</italic> Postresective mandibular reconstruction is common in cases of oral and mandibular tumors. However, complications such as infection, plate exposure, or plate fracture can occur. We identified several significant risk factors of complications after reconstructive surgery and compared the effectiveness of different surgical techniques for reducing the incidence of complications. <italic>Methods.</italic> This study is a retrospective analysis of 28 oromandibular cancer cases that required reconstructive surgery between January 1999 and December 2011 at Kobe University Graduate School of Medicine in Japan. All cases were classified using Hashikawa's CAT and Eichner's classification methods. Then, we determined whether these classifications and different treatment or surgical methods were significantly related to complications. <italic>Results.</italic> Complications after mandibular reconstruction occurred in 10/28 patients (36%). Specifically, five patients had plate fractures, four had plate exposures, and one had an infection. Radiation therapy and closure without any flaps were significantly related to infection or plate exposure. The wrap-around technique of securing reconstruction plates was used in 14 cases, whereas the run-through technique was used in two cases. <italic>Conclusions.</italic> The success of mandibular reconstruction depends on both mechanical and biological factors, such as the location of defects, presence of occlusions, and the amount of vascularization of the flap.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hidalgo, Da" uniqKey="Hidalgo D">DA Hidalgo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anthony, Jp" uniqKey="Anthony J">JP Anthony</name></author><author><name sortKey="Rawnsley, Jd" uniqKey="Rawnsley J">JD Rawnsley</name></author><author><name sortKey="Benhaim, P" uniqKey="Benhaim P">P Benhaim</name></author><author><name sortKey="Ritter, Ef" uniqKey="Ritter E">EF Ritter</name></author><author><name sortKey="Sadowsky, Sh" uniqKey="Sadowsky S">SH Sadowsky</name></author><author><name 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Akiko" sort="Sakakibara, Akiko" uniqKey="Sakakibara A" first="Akiko" last="Sakakibara">Akiko Sakakibara</name></noRegion><name sortKey="Hashikawa, Kazunobu" sort="Hashikawa, Kazunobu" uniqKey="Hashikawa K" first="Kazunobu" last="Hashikawa">Kazunobu Hashikawa</name><name sortKey="Komori, Takahide" sort="Komori, Takahide" uniqKey="Komori T" first="Takahide" last="Komori">Takahide Komori</name><name sortKey="Sakakibara, Shunsuke" sort="Sakakibara, Shunsuke" uniqKey="Sakakibara S" first="Shunsuke" last="Sakakibara">Shunsuke Sakakibara</name><name sortKey="Tahara, Shinya" sort="Tahara, Shinya" uniqKey="Tahara S" first="Shinya" last="Tahara">Shinya Tahara</name><name sortKey="Yokoo, Satoshi" sort="Yokoo, Satoshi" uniqKey="Yokoo S" first="Satoshi" last="Yokoo">Satoshi Yokoo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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