Lateral oromandibular defect: When is it appropriate to use a bridging reconstruction plate combined with a soft tissue revascularized flap?
dc.contributor.author | Chepeha, Douglas B. | en_US |
dc.contributor.author | Teknos, Theodoros N. | en_US |
dc.contributor.author | Fung, Kevin | en_US |
dc.contributor.author | Shargorodsky, Josef | en_US |
dc.contributor.author | Sacco, Assuntina G. | en_US |
dc.contributor.author | Nussenbaum, Brian | en_US |
dc.contributor.author | Jones, Lamont | en_US |
dc.contributor.author | Eisbruch, Avraham | en_US |
dc.contributor.author | Bradford, Carol R. | en_US |
dc.contributor.author | Prince, Mark E. P. | en_US |
dc.contributor.author | Moyer, Jeffrey S. | en_US |
dc.contributor.author | Lee, Julia S. | en_US |
dc.contributor.author | Wolf, Gregory T. | en_US |
dc.date.accessioned | 2008-06-04T14:39:26Z | |
dc.date.available | 2009-06-01T20:08:52Z | en_US |
dc.date.issued | 2008-06 | en_US |
dc.identifier.citation | Chepeha, Douglas B.; Teknos, Theodoros N.; Fung, Kevin; Shargorodsky, Josef; Sacco, Assuntina G.; Nussenbaum, Brian; Jones, Lamont; Eisbruch, Avraham; Bradford, Carol R.; Prince, Mark E.; Moyer, Jeffrey S.; Lee, Julia S.; Wolf, Gregory T. (2008). "Lateral oromandibular defect: When is it appropriate to use a bridging reconstruction plate combined with a soft tissue revascularized flap?." Head & Neck 30(6): 709-717. <http://hdl.handle.net/2027.42/58646> | en_US |
dc.identifier.issn | 1043-3074 | en_US |
dc.identifier.issn | 1097-0347 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/58646 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18286487&dopt=citation | en_US |
dc.description.abstract | Background A quasi-experimental retrospective study was undertaken to evaluate a new concept of free tissue volume restoration combined with bridging reconstruction plate (compartment approach) to reduce plate-related complication rates. Methods We evaluated 40 patients with large lateral mandible defects and associated complex soft tissue defects reconstructed with a revascularized soft tissue flap and titanium hollow screw reconstruction plates. A case-control comparison was performed based on reconstruction type: restoration of soft tissue defect (conventional approach—group 1) versus over-reconstruction of soft tissue defect (compartment approach—group 2). Results Plate exposure rate was 6 of 16 (38%) in group 1 versus 2 of 24 (8%) in group 2, and the difference was statistically significant ( p = .04). The mean time to exposure was 10 months. Plate fracture rate was 6 of 23 (26.1%) in dentulous patients versus 1 of 17 (5.9%) in edentulous patients. Gastrostomy tube dependence was 6 of 16 (38%) in group 1 versus 6 of 24 (25%) in group 2. Conclusion The “compartment approach” reduces plate exposure rate and gastrostomy tube dependence. Revascularized osseocutaneous reconstruction is still required in dentulous patients. © 2008 Wiley Periodicals, Inc. Head Neck, 2008 | en_US |
dc.format.extent | 192158 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Cancer Research, Oncology and Pathology | en_US |
dc.title | Lateral oromandibular defect: When is it appropriate to use a bridging reconstruction plate combined with a soft tissue revascularized flap? | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Otolaryngology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 ; Dr. Chepeha has reported a financial interest/relationship with KLS Martin. ; Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationum | Cancer Center–Biostatistics, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationum | Department Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan 48109-0312 | en_US |
dc.contributor.affiliationother | Department Otolaryngology–Head and Neck Oncology and Reconstructive Surgery, University of Western Ontario, London, Ontario, Canada | en_US |
dc.contributor.affiliationother | Department Otolaryngology–Head and Neck Surgical Oncology, Washington University, St. Louis, Missouri | en_US |
dc.identifier.pmid | 18286487 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/58646/1/20776_ftp.pdf | |
dc.identifier.doi | http://dx.doi.org/10.1002/hed.20776 | en_US |
dc.identifier.source | Head & Neck | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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