Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation
Identifieur interne : 007191 ( Ncbi/Checkpoint ); précédent : 007190; suivant : 007192Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation
Auteurs : Jae-Hyun Chung [Corée du Sud] ; Eul-Sik Yoon [Corée du Sud] ; Seung-Ha Park [Corée du Sud] ; Byung-Il Lee [Corée du Sud] ; Hyon-Surk Kim [Corée du Sud] ; Hi-Jin You [Corée du Sud]Source :
- Archives of Craniofacial Surgery [ 2287-1152 ] ; 2014.
Abstract
The fibular free flap has been used as the standard methods of segmental mandibular reconstruction. The objective of mandibular reconstruction not only includes restored continuity of the mandible but also the recovery of optimal function. This paper emphasizes the advantage of the fibular free flap reconstruction over that of locking mandibular reconstruction plate fixation.
The hospital charts of all patients (n=20) who had a mandibular reconstruction between 1994 and 2013 were retrospectively reviewed. Eight patients had plate-only fixation of the mandible, and the remaining 12 had vascularized fibular free flap reconstruction. Complications and outcomes were reviewed and compared between the 2 groups via statistical analysis.
Overall complication rates were significantly lower in the fibular flap group (8.3%) than in the plate fixation group (87.5%;
The fibular free flap provides a more stable support and additional soft tissue support for the plate, thereby minimizing the risk of plate-related complications. Fibular free flap is the most reliable option for mandibular reconstruction, and we believe that the flap should be performed primarily whenever possible.
Url:
DOI: 10.7181/acfs.2014.15.2.75
PubMed: 28913195
PubMed Central: 5556818
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002840
- to stream Pmc, to step Curation: 002840
- to stream Pmc, to step Checkpoint: 001558
- to stream Ncbi, to step Merge: 007191
- to stream Ncbi, to step Curation: 007191
Links to Exploration step
PMC:5556818Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation</title><author><name sortKey="Chung, Jae Hyun" sort="Chung, Jae Hyun" uniqKey="Chung J" first="Jae-Hyun" last="Chung">Jae-Hyun Chung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yoon, Eul Sik" sort="Yoon, Eul Sik" uniqKey="Yoon E" first="Eul-Sik" last="Yoon">Eul-Sik Yoon</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Seung Ha" sort="Park, Seung Ha" uniqKey="Park S" first="Seung-Ha" last="Park">Seung-Ha Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Byung Il" sort="Lee, Byung Il" uniqKey="Lee B" first="Byung-Il" last="Lee">Byung-Il Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Hyon Surk" sort="Kim, Hyon Surk" uniqKey="Kim H" first="Hyon-Surk" last="Kim">Hyon-Surk Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="You, Hi Jin" sort="You, Hi Jin" uniqKey="You H" first="Hi-Jin" last="You">Hi-Jin You</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28913195</idno><idno type="pmc">5556818</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556818</idno><idno type="RBID">PMC:5556818</idno><idno type="doi">10.7181/acfs.2014.15.2.75</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002840</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002840</idno><idno type="wicri:Area/Pmc/Curation">002840</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002840</idno><idno type="wicri:Area/Pmc/Checkpoint">001558</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001558</idno><idno type="wicri:Area/Ncbi/Merge">007191</idno><idno type="wicri:Area/Ncbi/Curation">007191</idno><idno type="wicri:Area/Ncbi/Checkpoint">007191</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation</title><author><name sortKey="Chung, Jae Hyun" sort="Chung, Jae Hyun" uniqKey="Chung J" first="Jae-Hyun" last="Chung">Jae-Hyun Chung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Yoon, Eul Sik" sort="Yoon, Eul Sik" uniqKey="Yoon E" first="Eul-Sik" last="Yoon">Eul-Sik Yoon</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Seung Ha" sort="Park, Seung Ha" uniqKey="Park S" first="Seung-Ha" last="Park">Seung-Ha Park</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lee, Byung Il" sort="Lee, Byung Il" uniqKey="Lee B" first="Byung-Il" last="Lee">Byung-Il Lee</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Hyon Surk" sort="Kim, Hyon Surk" uniqKey="Kim H" first="Hyon-Surk" last="Kim">Hyon-Surk Kim</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="You, Hi Jin" sort="You, Hi Jin" uniqKey="You H" first="Hi-Jin" last="You">Hi-Jin You</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Archives of Craniofacial Surgery</title><idno type="ISSN">2287-1152</idno><idno type="eISSN">2287-5603</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The fibular free flap has been used as the standard methods of segmental mandibular reconstruction. The objective of mandibular reconstruction not only includes restored continuity of the mandible but also the recovery of optimal function. This paper emphasizes the advantage of the fibular free flap reconstruction over that of locking mandibular reconstruction plate fixation.</p></sec><sec><title>Methods</title><p>The hospital charts of all patients (n=20) who had a mandibular reconstruction between 1994 and 2013 were retrospectively reviewed. Eight patients had plate-only fixation of the mandible, and the remaining 12 had vascularized fibular free flap reconstruction. Complications and outcomes were reviewed and compared between the 2 groups via statistical analysis.</p></sec><sec><title>Results</title><p>Overall complication rates were significantly lower in the fibular flap group (8.3%) than in the plate fixation group (87.5%; <italic>p</italic> =0.001). Most (7/8) patients in the plate fixation group had experienced plate-related late complications, including plate fracture or exposure. In the fibular flap group, no complications were observed, except for a single case of donor-site wound dehiscence (1/12).</p></sec><sec><title>Conclusion</title><p>The fibular free flap provides a more stable support and additional soft tissue support for the plate, thereby minimizing the risk of plate-related complications. Fibular free flap is the most reliable option for mandibular reconstruction, and we believe that the flap should be performed primarily whenever possible.</p></sec></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="Fernandes, R" uniqKey="Fernandes R">R Fernandes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Taylor, Gi" uniqKey="Taylor G">GI Taylor</name></author><author><name sortKey="Miller, Gd" uniqKey="Miller G">GD Miller</name></author><author><name sortKey="Ham, Fj" uniqKey="Ham F">FJ Ham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hirsch, Dl" uniqKey="Hirsch D">DL Hirsch</name></author><author><name sortKey="Garfein, Es" uniqKey="Garfein E">ES Garfein</name></author><author><name sortKey="Christensen, Am" uniqKey="Christensen A">AM Christensen</name></author><author><name sortKey="Weimer, Ka" uniqKey="Weimer K">KA Weimer</name></author><author><name sortKey="Saddeh, Pb" uniqKey="Saddeh P">PB Saddeh</name></author><author><name sortKey="Levine, Jp" uniqKey="Levine J">JP Levine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matros, E" uniqKey="Matros E">E Matros</name></author><author><name sortKey="Santamaria, E" uniqKey="Santamaria E">E Santamaria</name></author><author><name sortKey="Cordeiro, Pg" uniqKey="Cordeiro P">PG Cordeiro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Head, C" uniqKey="Head C">C Head</name></author><author><name sortKey="Alam, D" uniqKey="Alam D">D Alam</name></author><author><name sortKey="Sercarz, Ja" uniqKey="Sercarz J">JA Sercarz</name></author><author><name sortKey="Lee, Jt" uniqKey="Lee J">JT Lee</name></author><author><name sortKey="Rawnsley, Jd" uniqKey="Rawnsley J">JD Rawnsley</name></author><author><name sortKey="Berke, Gs" uniqKey="Berke G">GS Berke</name></author><author><name sortKey="Blackwell, Ke" uniqKey="Blackwell K">KE Blackwell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chepeha, Db" uniqKey="Chepeha D">DB Chepeha</name></author><author><name sortKey="Teknos, Tn" uniqKey="Teknos T">TN Teknos</name></author><author><name sortKey="Fung, K" uniqKey="Fung K">K Fung</name></author><author><name sortKey="Shargorodsky, J" uniqKey="Shargorodsky J">J Shargorodsky</name></author><author><name sortKey="Sacco, Ag" uniqKey="Sacco A">AG Sacco</name></author><author><name sortKey="Nussenbaum, B" uniqKey="Nussenbaum B">B Nussenbaum</name></author><author><name sortKey="Jones, L" uniqKey="Jones L">L Jones</name></author><author><name sortKey="Eisbruch, A" uniqKey="Eisbruch A">A Eisbruch</name></author><author><name sortKey="Bradford, Cr" uniqKey="Bradford C">CR Bradford</name></author><author><name sortKey="Prince, Me" uniqKey="Prince M">ME Prince</name></author><author><name sortKey="Moyer, Js" uniqKey="Moyer J">JS Moyer</name></author><author><name sortKey="Lee, Js" uniqKey="Lee J">JS Lee</name></author><author><name sortKey="Wolf, Gt" uniqKey="Wolf G">GT Wolf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schoning, H" uniqKey="Schoning H">H Schoning</name></author><author><name sortKey="Emshoff, R" uniqKey="Emshoff R">R Emshoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ettl, T" uniqKey="Ettl T">T Ettl</name></author><author><name sortKey="Driemel, O" uniqKey="Driemel O">O Driemel</name></author><author><name sortKey="Dresp, Bv" uniqKey="Dresp B">BV Dresp</name></author><author><name sortKey="Reichert, Te" uniqKey="Reichert T">TE Reichert</name></author><author><name sortKey="Reuther, J" uniqKey="Reuther J">J Reuther</name></author><author><name sortKey="Pistner, H" uniqKey="Pistner H">H Pistner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kammerer, Pw" uniqKey="Kammerer P">PW Kammerer</name></author><author><name sortKey="Klein, Mo" uniqKey="Klein M">MO Klein</name></author><author><name sortKey="Moergel, M" uniqKey="Moergel M">M Moergel</name></author><author><name sortKey="Gemmel, M" uniqKey="Gemmel M">M Gemmel</name></author><author><name sortKey="Draenert, Gf" uniqKey="Draenert G">GF Draenert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, Zh" uniqKey="Wang Z">ZH Wang</name></author><author><name sortKey="Zhang, Zy" uniqKey="Zhang Z">ZY Zhang</name></author><author><name sortKey="Mendenhall, Wm" uniqKey="Mendenhall W">WM Mendenhall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopez, R" uniqKey="Lopez R">R Lopez</name></author><author><name sortKey="Dekeister, C" uniqKey="Dekeister C">C Dekeister</name></author><author><name sortKey="Sleiman, Z" uniqKey="Sleiman Z">Z Sleiman</name></author><author><name sortKey="Paoli, Jr" uniqKey="Paoli J">JR Paoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mariani, Pb" uniqKey="Mariani P">PB Mariani</name></author><author><name sortKey="Kowalski, Lp" uniqKey="Kowalski L">LP Kowalski</name></author><author><name sortKey="Magrin, J" uniqKey="Magrin J">J Magrin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Katakura, A" uniqKey="Katakura A">A Katakura</name></author><author><name sortKey="Shibahara, T" uniqKey="Shibahara T">T Shibahara</name></author><author><name sortKey="Noma, H" uniqKey="Noma H">H Noma</name></author><author><name sortKey="Yoshinari, M" uniqKey="Yoshinari M">M Yoshinari</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Onoda, S" uniqKey="Onoda S">S Onoda</name></author><author><name sortKey="Kimata, Y" uniqKey="Kimata Y">Y Kimata</name></author><author><name sortKey="Yamada, K" uniqKey="Yamada K">K Yamada</name></author><author><name sortKey="Sugiyama, N" uniqKey="Sugiyama N">N Sugiyama</name></author><author><name sortKey="Onoda, T" uniqKey="Onoda T">T Onoda</name></author><author><name sortKey="Eguchi, M" uniqKey="Eguchi M">M Eguchi</name></author><author><name sortKey="Mizukawa, N" uniqKey="Mizukawa N">N Mizukawa</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Chung, Jae Hyun" sort="Chung, Jae Hyun" uniqKey="Chung J" first="Jae-Hyun" last="Chung">Jae-Hyun Chung</name></region><name sortKey="Kim, Hyon Surk" sort="Kim, Hyon Surk" uniqKey="Kim H" first="Hyon-Surk" last="Kim">Hyon-Surk Kim</name><name sortKey="Lee, Byung Il" sort="Lee, Byung Il" uniqKey="Lee B" first="Byung-Il" last="Lee">Byung-Il Lee</name><name sortKey="Park, Seung Ha" sort="Park, Seung Ha" uniqKey="Park S" first="Seung-Ha" last="Park">Seung-Ha Park</name><name sortKey="Yoon, Eul Sik" sort="Yoon, Eul Sik" uniqKey="Yoon E" first="Eul-Sik" last="Yoon">Eul-Sik Yoon</name><name sortKey="You, Hi Jin" sort="You, Hi Jin" uniqKey="You H" first="Hi-Jin" last="You">Hi-Jin You</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Ncbi/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 007191 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 007191 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Ncbi
|étape= Checkpoint
|type= RBID
|clé= PMC:5556818
|texte= Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:28913195" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |