Sliding osteotomies in mandibular reconstruction.
The aim of this article is to describe a few simple and atraumatic methods for mandibular reconstruction following the ablation of tumors or traumas. These reconstruction techniques are indicated for rebuilding short mandibular defects (less than 4 cm) or for patients in poor general condition with larger defects that cannot be remedied using longer and more complicated procedures. Five types of osteotomies were used: "C," single, double, bilateral sliding, and sagittal sliding. Osteotomies were performed on 14 patients, 13 with malignant tumors and one with a gunshot wound. Good results were obtained in 10 patients, total failure occurred in two, and complications without failure of the reconstruction arose in the other two.
Verdaguer
J
J
Maxillofacial Surgery Department, Gregorio Marañon University General Hospital, Madrid, Spain. juanoverdaguer@hotmail.com
Soler
F
F
Fernandez-Alba
J
J
Concejo
C
C
Acero
J
J
D000328:Adult; D000368:Aged; D001860:Bone Plates; D016025:Bone Transplantation; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008338:Mandibular Injuries / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000601:surgery