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Comparison of miniplates and biodegradable plates in reconstruction of the mandible with a fibular free flap

Authors
 N.K. Kim  ;  W. Nam  ;  H.J. Kim 
Citation
 BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, Vol.53(3) : 223-229, 2015 
Journal Title
 BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY 
ISSN
 0266-4356 
Issue Date
2015
MeSH
Absorbable Implants* ; Adolescent ; Adult ; Aged ; Biocompatible Materials/chemistry ; Bone Plates* ; Bone Transplantation/instrumentation* ; Bone Transplantation/methods ; Equipment Design ; Female ; Fibula/surgery ; Follow-Up Studies ; Free Tissue Flaps/transplantation* ; Graft Survival ; Humans ; Male ; Mandibular Neoplasms/surgery ; Mandibular Reconstruction/instrumentation* ; Mandibular Reconstruction/methods ; Middle Aged ; Miniaturization ; Polyesters/chemistry ; Postoperative Complications ; Retrospective Studies ; Surgical Wound Dehiscence/etiology ; Titanium/chemistry ; Transplant Donor Site/surgery ; Young Adult
Keywords
Biodegradable plate ; Fixation ; Free fibular flap ; Mandible ; Miniplate ; Reconstruction
Abstract
Miniplates and reconstruction plates are usually used to fix a fibular free flap, the gold standard in reconstruction of large segmental mandibular defects. Though biodegradable plates are used in orthognathic operations and repair of fractures nowadays, we know of no studies of the use of biodegradable plates in the reconstruction of segmental mandibular defects including a fibular free flap. We retrospectively reviewed 47 patients who had reconstruction of segmental mandibular defects with fibular free flaps during the past 10 years, and recorded clinical data and morbidity. We compared patients who had reconstruction of such defects with fibular free flaps and miniplates (n=26) with those in whom biodegradable plates had been used (n=21). There was no significant difference between miniplates and biodegradable plates with regard to overall complications (p=0.45) and failure of flaps (p=0.59). After confounding factors had been adjusted for with Cox's proportional hazards regression, there was no significant difference in the proportion of patients who developed a complication between the two groups (p=0.4). The type of plate does not seem to affect overall morbidity in reconstruction of the mandible with a fibular free flap.
Full Text
http://www.sciencedirect.com/science/article/pii/S0266435614006640
DOI
10.1016/j.bjoms.2014.11.010
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyoo(김남규)
Nam, Woong(남웅) ORCID logo https://orcid.org/0000-0003-0146-3624
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139567
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