Bone contouring and fixation in functional, primary microvascular mandibular reconstruction.
Experience in over 65 cases of microvascular mandibular reconstruction has resulted in the development of reliable techniques for bone fixation and contouring to achieve the best functional results. Methods of graft contouring and the application of rigid internal fixation are described in detail. Unusual situations in which the tumor extends through the buccal cortex of the mandible, and when condylar replacement is necessary, are presented. The options for managing these situations are discussed.
Buchbinder
D
D
Department of Oral and Maxillofacial Surgery, Mount Sinai Medical Center, New York, NY 10029.
Urken
M L
ML
Vickery
C
C
Weinberg
H
H
Biller
H F
HF
D016025:Bone Transplantation / Q000379:methods*; D016267:External Fixators; D006801:Humans; D016268:Internal Fixators; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods