Nakatsuka T.,Saitama University |
Yokogawa H.,Saitama International Medical Center |
Hirokawa E.,Saitama International Medical Center |
Momosawa A.,Saitama General Medical Center
Japanese Journal of Plastic Surgery | Year: 2012
A mandibular defect after surgical resection of a malignant tumor results in functional disorders and phonation as well as cosmetic disfigurement. Mandibular reconstruction therefore presents difficult problems for reconstructive surgeons and a variety of procedures have been proposed over the years. The procedures can be divided into the following three methods ; vascularized osteocutaneous free flaps including the fibula, the scapula, and the iliac bone ; reconstruction plate with free tissue transfer ; soft tissue augmentation for bony defects. The osteocutaneous free flap is considered the first choice for mandibular reconstruction when curability by surgical ablation is regarded as reliable and when this procedure is suitable for the patient's status, such as age and general condition.