Irradiated mandibular autografts update.
Nineteen patients underwent primary mandibular reconstruction with irradiated mandibular autografts. Ten were successful, with the longest follow-up being 7 1/2 years; nine failed within six months. Although an excellent graft for size and contour, a 53% success rate is no better than any other primary grafting technique. We have abandoned this technique in most situations and presently are evaluating split-rib grafts and intraoperative radiation to in situ mandibles.
Hamaker
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Singer
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D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D010064:Embryo Implantation; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008334:Mandible / Q000528:radiation effects / Q000601:surgery* / Q000637:transplantation; D008339:Mandibular Neoplasms / Q000532:radiotherapy*; D012516:Osteosarcoma / Q000532:radiotherapy; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods; D011183:Postoperative Complications; D013518:Surgery, Plastic; D013529:Surgical Wound Dehiscence / Q000209:etiology; D014182:Transplantation, Autologous