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Primary mandibular reconstruction using the ao reconstruction plate

Identifieur interne : 000373 ( Istex/Curation ); précédent : 000372; suivant : 000374

Primary mandibular reconstruction using the ao reconstruction plate

Auteurs : James M. Chow [États-Unis] ; James H. Hill [États-Unis]

Source :

RBID : ISTEX:07B0032F704A6E65F2D02734D1A6846D79BCA222

Abstract

Primary reconstruction of segmental defects of the mandible following cancer resection remains a major problem. In 1976, a stainless steel plate was developed by AO/ASIF (Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation) for mandibular reconstruction. This plate completely stabilizes both mandibular stumps without the need for intermaxillary or external fixation. In addition, when bone grafting is performed, the design of this plate promotes revascularization by allowing maximal contact between grafted cancellous bone and surrounding soft tissue. Since April 1985, we have used this reconstruction plate in six patients undergoing composite resection. The technique did not compromise cancer resection, excessively prolong operating time, or alter postoperative management. All six patients have retained the AO reconstruction plate and have been reconstructed successfully with achievement of satisfactory function and cosmesis.

Url:
DOI: 10.1288/00005537-198607000-00013

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ISTEX:07B0032F704A6E65F2D02734D1A6846D79BCA222

Le document en format XML

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<mods:affiliation>Correspondence address: University of Illinois, Eye and Ear Infirmary, 1855 West Taylor St., Suite 2.42, Chicago, IL 60612</mods:affiliation>
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<title level="j" type="main">The Laryngoscope</title>
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<div type="abstract" xml:lang="de">Primary reconstruction of segmental defects of the mandible following cancer resection remains a major problem. In 1976, a stainless steel plate was developed by AO/ASIF (Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation) for mandibular reconstruction. This plate completely stabilizes both mandibular stumps without the need for intermaxillary or external fixation. In addition, when bone grafting is performed, the design of this plate promotes revascularization by allowing maximal contact between grafted cancellous bone and surrounding soft tissue. Since April 1985, we have used this reconstruction plate in six patients undergoing composite resection. The technique did not compromise cancer resection, excessively prolong operating time, or alter postoperative management. All six patients have retained the AO reconstruction plate and have been reconstructed successfully with achievement of satisfactory function and cosmesis.</div>
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