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Bone contouring and fixation in functional, primary microvascular mandibular reconstruction
Author(s) -
Buchbinder Daniel,
Urken Mark L.,
Vickery Carlin,
Weinberg Hubert,
Biller Hugh F.
Publication year - 1991
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.2880130305
Subject(s) - contouring , fixation (population genetics) , condyle , medicine , internal fixation , mandible (arthropod mouthpart) , orthodontics , dentistry , anatomy , computer science , biology , population , botany , computer graphics (images) , environmental health , genus
Experience in over 65 cases of microvascular mandibular reconstruction has resulted in the development of reliable techniques for bone fixation and contouring to achieve the best functional results. Methods of graft contouring and the application of rigid internal fixation are described in detail. Unusual situations in which the tumor extends through the buccal cortex of the mandible, and when condylar replacement is necessary, are presented. The options for managing these situations are discussed.