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Thomas W. Albert, MD, DMD; James D. Smith, MD; Edwin C. Everts, MD; Ted A. Cook, MD

Arch Otolaryngol Head Neck Surg. 1986;112(1):53-59.

Abstract
• We used a Dacron-urethane mesh tray filled with cancellous bone for mandibular reconstruction in 17 patients. Five patients with traumatic defects and two with benign tumors developed solid, functional mandibles. Among ten patients with squamous cell carcinoma, eight had successful reconstruction; one required a second procedure. Mandibles of two of three patients with osteoradionecrosis were successfully reconstructed, but only one of three primary reconstructions was initially successful. The Dacron-urethane mesh tray has the advantage of being stiff but malleable. It easily fits the defect, is radiolucent, and may be used either before or after radiotherapy. We recommend delayed reconstruction, adequate soft-tissue coverage, good immobilization of the mandible, no intraoral contamination, especially with osteoradionecrosis, and hyperbaric oxygen in patients who have been irradiated or have osteoradionecrosis.

(Arch Otolaryngol Head Neck Surg 1986;112:53-59)

Author Affiliations
From the Oregon Health Sciences University, Portland.

Footnotes
Accepted for publication June 21, 1985.

Read before the American Society for Head and Neck Surgery, Dorado Beach, Puerto Rico, May 7, 1985.

Reprint requests to 3181 SW Sam Jackson Park Rd, Portland, OR 97201 (Dr Smith).

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Arch Otolaryngol Head Neck Surg 1986;112:455-455.
ABSTRACT