Stabilization of Mobile Mandibular Segments in Mandibular Reconstruction: Use of Spanning Reconstruction Plate
Identifieur interne : 002F71 ( Main/Curation ); précédent : 002F70; suivant : 002F72Stabilization of Mobile Mandibular Segments in Mandibular Reconstruction: Use of Spanning Reconstruction Plate
Auteurs : Yan Lin Yap ; Jane Lim ; Wei Chen Ong ; Matthew Yeo ; Hanjing Lee ; Thiam Chye LimSource :
- Craniomaxillofacial Trauma & Reconstruction [ 1943-3875 ] ; 2012.
Abstract
The fibular free flap is the gold standard for mandibular reconstruction. Accurate 3-dimensional contouring and precise alignment of the fibula is critical for reestablishing native occlusion and facial symmetry. Following segmental mandibulectomy, the remaining mandibular fragments become freely mobile. Various stabilization methods including external fixation, intermaxillary fixation, and preplating with reconstruction plate have been used. We describe a modification to the preplating technique. After wide resection of buccal squamous cell carcinoma, our patient had an 11-cm mandibular defect from the angle of the left mandible to the right midparasymphyseal region. A single 2.0-mm Unilock® (Synthes, Singapore) plate was used to span the defect. This was placed on the vestibular aspect of the superior border of the mandibular remnants before resection. Segmental mandibulectomy was then performed with the plate removed. The spanning plate was then reattached to provide rigid fixation. The fibular bone was contoured with a single osteotomy and reattached. The conventional technique involves molding of the plate at the inferior border of the mandible. This is time-consuming and not possible in patients with distorted mandibular contour. It is also difficult to fit the osteotomized fibula to the contoured plate. In comparison, the superiorly positioned spanning plate achieve rigid fixation of the mandible while leaving the defect completely free and unhampered by hardware, allowing space for planning osteotomies and easier fixation of the neomandible. Using this modified technique, we are able to recreate the original mandibular profile with ease.
Url:
DOI: 10.1055/s-0032-1313354
PubMed: 23997856
PubMed Central: 3578648
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000031
- to stream Pmc, to step Curation: Pour aller vers cette notice dans l'étape Curation :000031
- to stream Pmc, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :001C61
- to stream Ncbi, to step Merge: Pour aller vers cette notice dans l'étape Curation :004940
- to stream Ncbi, to step Curation: Pour aller vers cette notice dans l'étape Curation :004940
- to stream Ncbi, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :004940
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :002F86
Links to Exploration step
PMC:3578648Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Stabilization of Mobile Mandibular Segments in Mandibular Reconstruction: Use of Spanning Reconstruction Plate</title>
<author><name sortKey="Yap, Yan Lin" sort="Yap, Yan Lin" uniqKey="Yap Y" first="Yan Lin" last="Yap">Yan Lin Yap</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Jane" sort="Lim, Jane" uniqKey="Lim J" first="Jane" last="Lim">Jane Lim</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ong, Wei Chen" sort="Ong, Wei Chen" uniqKey="Ong W" first="Wei Chen" last="Ong">Wei Chen Ong</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yeo, Matthew" sort="Yeo, Matthew" uniqKey="Yeo M" first="Matthew" last="Yeo">Matthew Yeo</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="AF05123-2"><institution>Department of Surgery, National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Hanjing" sort="Lee, Hanjing" uniqKey="Lee H" first="Hanjing" last="Lee">Hanjing Lee</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Thiam Chye" sort="Lim, Thiam Chye" uniqKey="Lim T" first="Thiam Chye" last="Lim">Thiam Chye Lim</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="AF05123-2"><institution>Department of Surgery, National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">23997856</idno>
<idno type="pmc">3578648</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3578648</idno>
<idno type="RBID">PMC:3578648</idno>
<idno type="doi">10.1055/s-0032-1313354</idno>
<date when="2012">2012</date>
<idno type="wicri:Area/Pmc/Corpus">000031</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000031</idno>
<idno type="wicri:Area/Pmc/Curation">000031</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000031</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001C61</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C61</idno>
<idno type="wicri:Area/Ncbi/Merge">004940</idno>
<idno type="wicri:Area/Ncbi/Curation">004940</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">004940</idno>
<idno type="wicri:doubleKey">1943-3875:2012:Yap Y:stabilization:of:mobile</idno>
<idno type="wicri:Area/Main/Merge">002F86</idno>
<idno type="wicri:Area/Main/Curation">002F71</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Stabilization of Mobile Mandibular Segments in Mandibular Reconstruction: Use of Spanning Reconstruction Plate</title>
<author><name sortKey="Yap, Yan Lin" sort="Yap, Yan Lin" uniqKey="Yap Y" first="Yan Lin" last="Yap">Yan Lin Yap</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Jane" sort="Lim, Jane" uniqKey="Lim J" first="Jane" last="Lim">Jane Lim</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Ong, Wei Chen" sort="Ong, Wei Chen" uniqKey="Ong W" first="Wei Chen" last="Ong">Wei Chen Ong</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yeo, Matthew" sort="Yeo, Matthew" uniqKey="Yeo M" first="Matthew" last="Yeo">Matthew Yeo</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="AF05123-2"><institution>Department of Surgery, National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Hanjing" sort="Lee, Hanjing" uniqKey="Lee H" first="Hanjing" last="Lee">Hanjing Lee</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Thiam Chye" sort="Lim, Thiam Chye" uniqKey="Lim T" first="Thiam Chye" last="Lim">Thiam Chye Lim</name>
<affiliation><nlm:aff id="AF05123-1"><institution>Division of Plastic, Reconstructive and Aesthetic Surgery National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="AF05123-2"><institution>Department of Surgery, National University Hospital, Singapore</institution>
</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Craniomaxillofacial Trauma & Reconstruction</title>
<idno type="ISSN">1943-3875</idno>
<idno type="eISSN">1943-3883</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p>The fibular free flap is the gold standard for mandibular reconstruction. Accurate 3-dimensional contouring and precise alignment of the fibula is critical for reestablishing native occlusion and facial symmetry. Following segmental mandibulectomy, the remaining mandibular fragments become freely mobile. Various stabilization methods including external fixation, intermaxillary fixation, and preplating with reconstruction plate have been used. We describe a modification to the preplating technique. After wide resection of buccal squamous cell carcinoma, our patient had an 11-cm mandibular defect from the angle of the left mandible to the right midparasymphyseal region. A single 2.0-mm Unilock® (Synthes, Singapore) plate was used to span the defect. This was placed on the vestibular aspect of the superior border of the mandibular remnants before resection. Segmental mandibulectomy was then performed with the plate removed. The spanning plate was then reattached to provide rigid fixation. The fibular bone was contoured with a single osteotomy and reattached. The conventional technique involves molding of the plate at the inferior border of the mandible. This is time-consuming and not possible in patients with distorted mandibular contour. It is also difficult to fit the osteotomized fibula to the contoured plate. In comparison, the superiorly positioned spanning plate achieve rigid fixation of the mandible while leaving the defect completely free and unhampered by hardware, allowing space for planning osteotomies and easier fixation of the neomandible. Using this modified technique, we are able to recreate the original mandibular profile with ease.</p>
</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002F71 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 002F71 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Main |étape= Curation |type= RBID |clé= PMC:3578648 |texte= Stabilization of Mobile Mandibular Segments in Mandibular Reconstruction: Use of Spanning Reconstruction Plate }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Curation/RBID.i -Sk "pubmed:23997856" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd \ | NlmPubMed2Wicri -a EdenteV2
This area was generated with Dilib version V0.6.32. |