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Advantages of mandibular reconstruction with the titanium hollow screw osseointegrating reconstruction plate (THORP)

Identifieur interne : 00AC13 ( Main/Exploration ); précédent : 00AC12; suivant : 00AC14

Advantages of mandibular reconstruction with the titanium hollow screw osseointegrating reconstruction plate (THORP)

Auteurs : Wayne M. Koch [États-Unis] ; George H. Yoo [États-Unis] ; Matthew L. Goodstein [États-Unis] ; David W. Eisele [États-Unis] ; William J. Richtsmeier [États-Unis] ; John C. Price [États-Unis]

Source :

RBID : ISTEX:1D852C2999A63118B79F8D64F252FF664796A4B6

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English descriptors

Abstract

Alloplastic reconstruction following segmental mandibulectomy is a simple way to maintain mandibular segmental relationships, partially preserving form and function for many patients. This study is a retrospective review of 40 patients who had mandibular reconstruction with metal plates over a 6‐year period (April 1986 through August 1992). The results of reconstruction with titanium hollow‐screw osseointegrating reconstruction plates (THORP [n = 12]) and solid screw (SS) steel and titanium plates (n = 28) are compared. One THORP has been removed as compared to 14 SS plates. While the improved results with THORP may be attributable in part to its advanced design, the success of soft‐tissue reconstruction and tumor extirpation are important factors in the early outcome seen in this series. Longer follow‐up is needed to determine if THORP can serve as a permanent implant. THORP is the authors' method of choice for alloplastic mandibular reconstruction.

Url:
DOI: 10.1002/lary.5541040507


Affiliations:


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Le document en format XML

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<term>Alloplastic reconstruction</term>
<term>Angle segment</term>
<term>Anterior defects</term>
<term>Anterlor failures</term>
<term>Bone ingrowth</term>
<term>Condylar head prosthesis</term>
<term>Cylindrical screw head</term>
<term>Defect</term>
<term>Flap</term>
<term>Flap loss</term>
<term>Free flap</term>
<term>Free flaps</term>
<term>Implant</term>
<term>Johns hopkins hospital</term>
<term>Koch</term>
<term>Laryngoscope</term>
<term>Lateral</term>
<term>Lateral defects</term>
<term>Locoregional recurrence</term>
<term>Mandibular</term>
<term>Mandibular defect</term>
<term>Mandibular defects</term>
<term>Mandibular reconstruction</term>
<term>Mandibular reconstruction table</term>
<term>Mandibular resection</term>
<term>Mandibular segments</term>
<term>Metal plates</term>
<term>Months postoperatively</term>
<term>More information</term>
<term>Patient population</term>
<term>Plate</term>
<term>Plate failure</term>
<term>Plate fracture</term>
<term>Plate hole</term>
<term>Plate removal</term>
<term>Postoperative radiation</term>
<term>Postoperatively</term>
<term>Previous series</term>
<term>Radiation therapy</term>
<term>Reconstruction</term>
<term>Reconstruction plates</term>
<term>Recurrence</term>
<term>Recurrent tumor</term>
<term>Right side</term>
<term>Secondary intention</term>
<term>Segmental mandibulectomy</term>
<term>Soft tissue</term>
<term>Solid screw</term>
<term>Stainless steel</term>
<term>Steel plates</term>
<term>Successful reconstructions</term>
<term>Superior biocompatibility</term>
<term>Surg</term>
<term>Thorp</term>
<term>Thorp group</term>
<term>Thorp implants</term>
<term>Thorp patient</term>
<term>Thorp patients</term>
<term>Thorp plate</term>
<term>Thorp results</term>
<term>Thorp system</term>
<term>Titanium</term>
<term>Titanium plates</term>
<term>Trismus</term>
<term>Tumor recurrence</term>
<term>Tumor site</term>
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<term>Alloplastic</term>
<term>Alloplastic mandibular reconstruction</term>
<term>Alloplastic reconstruction</term>
<term>Angle segment</term>
<term>Anterior defects</term>
<term>Anterlor failures</term>
<term>Bone ingrowth</term>
<term>Condylar head prosthesis</term>
<term>Cylindrical screw head</term>
<term>Defect</term>
<term>Flap</term>
<term>Flap loss</term>
<term>Free flap</term>
<term>Free flaps</term>
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<term>Locoregional recurrence</term>
<term>Mandibular</term>
<term>Mandibular defect</term>
<term>Mandibular defects</term>
<term>Mandibular reconstruction</term>
<term>Mandibular reconstruction table</term>
<term>Mandibular resection</term>
<term>Mandibular segments</term>
<term>Metal plates</term>
<term>Months postoperatively</term>
<term>More information</term>
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<term>Steel plates</term>
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<term>Thorp group</term>
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<term>Thorp results</term>
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<div type="abstract" xml:lang="en">Alloplastic reconstruction following segmental mandibulectomy is a simple way to maintain mandibular segmental relationships, partially preserving form and function for many patients. This study is a retrospective review of 40 patients who had mandibular reconstruction with metal plates over a 6‐year period (April 1986 through August 1992). The results of reconstruction with titanium hollow‐screw osseointegrating reconstruction plates (THORP [n = 12]) and solid screw (SS) steel and titanium plates (n = 28) are compared. One THORP has been removed as compared to 14 SS plates. While the improved results with THORP may be attributable in part to its advanced design, the success of soft‐tissue reconstruction and tumor extirpation are important factors in the early outcome seen in this series. Longer follow‐up is needed to determine if THORP can serve as a permanent implant. THORP is the authors' method of choice for alloplastic mandibular reconstruction.</div>
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