✦ LIBER ✦

Comparison of reconstructive procedures in primary versus secondary mandibular reconstruction

✍ Scribed by William N. Andrade; Joan E. Lipa; Christine B. Novak; Harpreet Grover; Christian Bang; Ralph W. Gilbert; Peter C. Neligan

Publisher: John Wiley and Sons
Year: 2008
Tongue: English
Weight: 79 KB
Volume: 30
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20705

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Few reports have compared reconstructive outcomes of primary versus secondary mandibular reconstruction.

Methods.

A retrospective chart review was performed on 149 patients following primary (n = 110) and secondary reconstruction (n = 39).

Results.

There was no statistically significant difference in patient demographics between the 2 groups. The secondary reconstruction mandibular defects were more extensive; significantly more involved the condyle or the central portion of the mandible. The vascularized fibular flap was most commonly used (primary 82%, secondary 69%). The overall complication rate was similar in both groups. There was no statistical difference in the frequency of complications between the primary or secondary reconstruction groups (acute, p = .40; late, p = .17).

Conclusions.

Success in secondary mandibular reconstruction could be achieved utilizing a range of osseous free flaps, and there was no increased rate of complications compared with primary mandibular reconstructions. © 2007 Wiley Periodicals, Inc. Head Neck, 2008

📜 SIMILAR VOLUMES

Reconstruction of the breast as a primar

Reconstruction of the breast as a primary and secondary procedure following mastectomy for carcinoma

✍ G. T. Watts 📂 Article 📅 1976 🏛 John Wiley and Sons 🌐 English ⚖ 351 KB 👁 1 views

Vascularized bone flaps versus nonvascul

Vascularized bone flaps versus nonvascularized bone grafts for mandibular reconstruction: An outcome analysis of primary bony union and endosseous implant success

✍ Robert D. Foster; James P. Anthony; Arun Sharma; M. Anthony Pogrel 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 57 KB 👁 1 views

Background. Functional restoration following resection or traumatic injury to the mandible depends on the reliability of the bony reconstruction to heal primarily and support endosseous implants. Although vascularized bone flaps (VBF) and nonvascularized bone grafts (NVBG) are both widely used to re

Use of single saphenous interposition ve

Use of single saphenous interposition vein graft for primary arterial circuit and secondary recipient site in head and neck reconstruction: A case report

✍ Kao-Ping Chang; Hsiao-Chen Lee; Chung-Sheng Lai; Sin-Daw Lin 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 150 KB 👁 1 views

## Abstract ## Background. Autologous vein grafts are a valuable tool in microsurgical free tissue transfer. Interposition vein grafts offer the surgeon greater freedom when placing the free flap and choosing the recipient vessels, providing valuable options in case recipient vessels are not avail

Comparison of procedural times, success

Comparison of procedural times, success rates, and safety between left versus right radial arterial access in primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction

✍ Peter Larsen; Saumil Shah; Sergio Waxman; Mark Freilich; Nabila Riskalla; Thomas 📂 Article 📅 2010 🏛 John Wiley and Sons 🌐 English ⚖ 142 KB 👁 3 views

## Abstract Objective: To evaluate if there are differences in procedural times, success rates, and safety between left and right radial approach (LRA and RRA, respectively) in primary percutaneous coronary intervention (PCI) for ST‐elevation myocardial infarction (STEMI). Background: Given conflic