title: Pedicled partial thickness clavicular graft for oromandibular reconstruction.
abstract: OBJECTIVE
  To report our experience on pedicled partial-thickness clavicular graft (PPCG) for oromandibular reconstruction.
  
  
  METHODS
  PPCG was used for oromandibular reconstruction after tumor resection in 23 patients with early-stage gingival carcinoma but were eager for postoperative dental implant therapy for restoration of good occlusal function. PPCG was harvested during neck dissection. The sternocleidomastoid (SCM) myocutaneous flap was also harvested in 18 cases. Dental implants were placed in the clavicular graft of 19 cases, and the other 4 declined because of financial concerns. Postoperative viability of the flaps and the dental implants were assessed.
  
  
  RESULTS
  All the clavicular grafts survived without necrosis and implant-supported dentures of 19 patients provided satisfactory occlusion and masticatory function. Complications, although low in occurrence, included partial skin pedicle loss, nonunion between the clavicular graft and the remaining inferior border of the mandible, and clavicular bone fracture.
  
  
  CONCLUSIONS
  PPCG is a simple but reliable procedure for reconstruction of severe alveolar defects. Correct preoperative evaluation and precise surgical technique contribute to higher success rates and lower complication rates. It is a viable reconstructive option for early-stage gingival carcinoma requiring neck dissection without postoperative radiation therapy.
authors.affiliation: Department of Oral and Maxillofacial surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, P. R. China.
authors.forename: Wenquan
authors.initials: W
authors.lastname: Zhao
authors.affiliation: Department of Oral and Maxillofacial surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, P. R. China.
authors.forename: Jianhua
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Oral and Maxillofacial surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, P. R. China.
authors.forename: Dong
authors.initials: D
authors.lastname: Wei
authors.affiliation: Department of Dental Implantation, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, P. R. China.
authors.forename: Junhua
authors.initials: J
authors.lastname: Xu
authors.affiliation: Department of Oral and Maxillofacial surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, P. R. China. Electronic address: Zjuwanghm@163.com.
authors.forename: Huiming
authors.initials: H
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D002968:Clavicle / Q000637:transplantation*; D003758:Dental Implantation, Endosseous / Q000379:methods; D015921:Dental Implants; D005260:Female; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D037981:Neck Dissection; D054843:Negative-Pressure Wound Therapy; D009367:Neoplasm Staging; D019647:Oral Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D015921:Dental Implants