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New Concepts

Patrick J. Gullane, MD; Howard Holmes, DDS

Arch Otolaryngol Head Neck Surg. 1986;112(7):714-719.

Abstract
• The combination of a myocutaneous flap with a three-dimensional bendable reconstruction plate has provided satisfactory results in restoration of mandibular defects following surgical resections in irradiated patients. Twenty-eight patients were treated and prospectively evaluated. Patients requring postoperative irradiation were excluded from this study. Two groups were identified. Group A (N = 23) required a myocutaneous flap to resurface the soft-tissue defect and group B (N = 5) was treated by primary closure. Seventy-three percent (17 of 23) of patients in group A and 60% (three of five) in group B had received presurgical irradiation but required none after surgery. To date, 64% (18) of the patients have maintained their plates for more than one year, half of these for two years or more. Another 21% (6) have had their plates in place more than six months and the remaining 14% (four) less than six months. One plate was lost in an irradiated group B patient.

(Arch Otolaryngol Head Neck Surg 1986;112:714-719)

Author Affiliations
From the Departments of Otolaryngology (Dr Gullane) and Oral and Maxillofacial Surgery (Dr Holmes), University of Toronto.

Footnotes
Accepted for publication April 10, 1986.

Read in part at the fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Atlanta, Oct 18-19, 1985.

Reprint requests to Department of Otolaryngology, Toronto General Hospital, 200 Elizabeth St, Eaton North Wing 7-242, Toronto, Ontario, M5G 1L7, Canada.

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