Long-term functional outcome of mandibular reconstruction with stainless steel AO reconstruction plates.
Mandibular continuity defects are usually reconstructed with bone grafts. However, factors associated with the tumour and the patient can still be reasons to choose reconstruction plates. The aim of this study was to find out the results of mandibular reconstructions with stainless steel AO reconstruction plates after a long follow-up period. The records of 36 patients were reviewed for personal data and the history of disease, treatment and complications. Patients with failed reconstructions were compared with those in whom the procedure had been successful. Patients and surgeons gave their opinion on the functional and cosmetic results. The mean follow-up was 39 months (range 4-99); 4 patients were withdrawn because they developed early recurrent disease and in 17 patients the reconstruction failed. We found no significant differences between the successful and the failed group. Fourteen patients could be evaluated for functional outcome, 10 of whom were totally or satisfactorily rehabilitated. Therefore, stainless steel reconstruction plates can be used in patients when other options are inappropriate.
Department of Oral and Maxillofacial Surgery, University Hospital of Groningen, Groningen, The Netherlands.
B
B
van Minnen
J M
JM
Nauta
A
A
Vermey
R R M
RR
Bos
J L N
JL
Roodenburg
D000328:Adult; D000368:Aged; D001860:Bone Plates / Q000009:adverse effects; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000534:rehabilitation*; D008341:Mandibular Prosthesis / Q000009:adverse effects; D008875:Middle Aged; D009336:Necrosis; D016155:Oral Fistula / Q000209:etiology; D019647:Oral Surgical Procedures / Q000009:adverse effects; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013193:Stainless Steel; D013529:Surgical Wound Dehiscence / Q000209:etiology; D016896:Treatment Outcome
D013193:Stainless Steel