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Anatomic reconstruction and functional rehabilitation of oromandibular defects with rigid internal fixation
Author(s) -
Wenig Barry L.,
Shikowitz Mark J.,
Stern Jamie R.,
Keller Alex J.,
Casino Anthony J.,
Pollack Jed M.,
Pipman Yacov
Publication year - 1988
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198802000-00007
Subject(s) - medicine , fixation (population genetics) , surgery , head and neck , internal fixation , oral cavity , head and neck cancer , rehabilitation , free flap reconstruction , radiation therapy , orthodontics , population , environmental health , physical therapy
Fifteen consecutive patients undergoing extensive surgery for head and neck cancer involving the oral cavity and oropharynx were reconstructed using the technique of rigid internal fixation combined with various vascularized flaps. The follow‐up ranged from 6 to 18 months. Modifications in various myocutaneous or vascularized free flaps combined with an analysis of the radiation physics necessary to make this procedure a viable alternative for immediate and delayed mandibular reconstruction will be discussed. Consistently satisfactory functional and cosmetic results have been achieved.