Efficacy of small reconstruction plates in vascularized bone graft mandibular reconstruction

D Gregory Farwell, Eric J. Kezirian, Jennifer L. Heydt, Bevan Yueh, Neal D. Futran

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Utilization of vascularized bone grafts rigidly fixated with titanium reconstruction plates is the method of choice for reconstruction of segmental mandibular defects. We hypothesized that the use of the newer 2.0-mm locking reconstruction plate (LRP) is not associated with higher rates of complications when compared with larger, previously used plating systems. Methods: A retrospective case series of 184 patients undergoing 185 vascularized bone graft reconstruction procedures of the mandible was conducted. Results: There were 37 plate complications. There was no significant difference in complication rates for the 2 most used plate types (14.5% with the 2.0-mm LRP and 22.2% with the 2.4-mm LRP). Conclusions: Use of the smaller 2.0-mm LRP was not associated with an increase in the complications of plate fracture, exposure, infection, or nonunion. Because of its lower profile and ease of application, the 2.0-mm LRP is our plate of choice for mandibular reconstruction.

Original languageEnglish (US)
Pages (from-to)573-579
Number of pages7
JournalHead and Neck
Volume28
Issue number7
DOIs
StatePublished - Jul 2006

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Mandibular Reconstruction
Transplants
Bone and Bones
Titanium
Mandible
Infection

Keywords

  • Complication
  • Locking
  • Mandible
  • Plate
  • Reconstruction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Efficacy of small reconstruction plates in vascularized bone graft mandibular reconstruction. / Farwell, D Gregory; Kezirian, Eric J.; Heydt, Jennifer L.; Yueh, Bevan; Futran, Neal D.

In: Head and Neck, Vol. 28, No. 7, 07.2006, p. 573-579.

Research output: Contribution to journalArticle

Farwell, D Gregory ; Kezirian, Eric J. ; Heydt, Jennifer L. ; Yueh, Bevan ; Futran, Neal D. / Efficacy of small reconstruction plates in vascularized bone graft mandibular reconstruction. In: Head and Neck. 2006 ; Vol. 28, No. 7. pp. 573-579.
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