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Review of the Literature

Mark L. Urken, MD

Arch Otolaryngol Head Neck Surg. 1991;117(7):724-732.

Abstract
• The transfer of vascularized bone containing free flaps is the most effective method of achieving a functional oromandibular reconstruction in the primary setting. All of the reported series on mandibular reconstruction using microvascular free flaps, totaling 513 cases, are reviewed. The collective success rates of free flap transfers compiled from these series have steadily increased to 96% during the latter portion of this review. The experimental studies demonstrating the viability of vascularized bone following an ischemic insult are presented. The issues regarding primary and secondary mandible reconstruction are reviewed. Each of the eight donor sites for vascularized bone are discussed and rated with respect to the ideal qualities of the bone and soft-tissue components of a composite free flap to achieve an optimal oromandibular reconstruction.

(Arch Otolaryngol Head Neck Surg. 1991;117:724-732)

Author Affiliations
From the Department of Otolaryngology, Mount Sinai Medical Center, New York, New York.

Footnotes
Accepted for publication February 7, 1991.

Presented at the meeting of the American Society for Head and Neck Surgery, Palm Beach, Fla, April 30, 1990.

Reprint requests to the Department of Otolaryngology, Box 1189, Mount Sinai Medical Center, One Gustave L. Levy PI, New York, NY 10029 (Dr Urken).

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