Reconstrucción mandibularpasado, presente y futuro
- Santiago Ochandiano Caicoya
- C. Navarro Vila
- Francisco Javier López Atalaya
- M. Cuesta Gil
- Juan José Verdaguer Martín
- J.M. Barrios Robredo
- Julio Jesús Acero Sanz
- José Ignacio Salmerón Escobar
ISSN: 1130-0558
Year of publication: 2002
Volume: 24
Issue: 2
Pages: 75-91
Type: Article
More publications in: Revista española de cirugía oral y maxilofacial: Publicación Oficial de la Sociedad Española de Cirugía Oral y Maxilofacial
Abstract
Mandibular reconstruction is still a challenge for the head and neck surgeon. We review our experence since 1985 in mandibular reconstruction: the different techniques, their indications, success and disadvantages. We present the trapezius osteomyocutaneous regional pedicled flap and the free microsurgical flaps: the fíbula, scapular and iliac crest flaps, remarking the indications, controversies and our own results in each flap. Finally we present some clinical guidelines for choosing an adecuate reconstructive technique when dealing with different mandibular defects. The excellent clinical results of the primary reconstruction and the free microsurgical flaps, when compared to traditional reconstructive methods, help the mandibulectomized patients to achieve a superior quality of life regarding esthetic and function.