Use of the 2.0-mm locking reconstruction plate in primary oromandibular reconstruction after composite resection.
OBJECTIVE
To review our experience with 2.0-mm locking reconstruction plate (LRP) system for patients requiring oromandibular reconstruction.


METHODS
Retrospective case review of 43 consecutive patients who underwent mandibular composite resection with immediate reconstruction.


METHODS
Tertiary care center.


RESULTS
Forty-three patients underwent oromandibular reconstruction with the 2.0-mm mandibular LRP system and free flaps containing vascularized bone. Mean follow-up was 11 months. There were no intraoperative difficulties utilizing this system. Two (5%) patients had partial fasciocutaneous flap loss resulting in plate exposure. There were no instances of plate fracture or complications requiring plate removal to date.


CONCLUSIONS
2.0-mm LRP mandibular system is reliable even in the setting of previous or adjuvant radiation therapy. Its technical ease of application, contouring malleability, and very low profile have proven to be advantageous in oromandibular reconstruction.


CONCLUSIONS
No previous descriptions of use of the 2.0-mm LRP in combination with osteocutaneous free flaps for mandibular reconstruction are found in the literature.


METHODS
C.
Militsakh
Oleg N
ON
Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, KS 66160, USA.
Wallace
Derrick I
DI
Kriet
J David
JD
Girod
Douglas A
DA
Olvera
Melissa S
MS
Tsue
Terance T
TT
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D016025:Bone Transplantation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008336:Mandibular Diseases / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000295:instrumentation*; D010025:Osteoradionecrosis / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome