[Titanium plates for mandibular reconstruction and radiotherapy].
Mandibular reconstruction plates are now used after cancer surgery in particular patients. This study assesses the irradiation of Titanium mandibular reconstruction plates in terms of both dosimetry and mid-term tolerance. Twenty patients with mandibular plates underwent radiotherapy (mean dose 60 Gy). The radiation dose on the patient itself was calculated with 3-dimensional treatment planning. A clinical and radiological evaluation of tolerance was made 6 months after the end of the treatment: intraoral and cutaneous healing and possible osteomyelitis. Mid-term tolerance was very satisfactory with only two failures at 6 months. When using parallel opposing fields, the overdosage into tissues was reduced to approximately 5 p. cent; and radiotherapy has probably no effect on titanium plate tolerance.
Pinsolle
J
J
Service de Chirurgie Maxillo-Faciale, CHU, Bordeaux.
Demeaux
H
H
Phan
E
E
Coustal
B
B
Siberchicot
F
F
Michelet
F X
FX
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D005260:Female; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D008875:Middle Aged; D011446:Prospective Studies; D011879:Radiotherapy Dosage; D013524:Surgical Flaps; D014025:Titanium
D014025:Titanium
Plaques de reconstruction mandibulaire en titane et radiothérapie.