This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects

Mark L. Urken, MD; Hubert Weinberg, MD; Carlin Vickery, MD; Daniel Buchbinder, DMD; William Lawson, DDS, MD; Hugh F. Biller, MD

Arch Otolaryngol Head Neck Surg. 1991;117(7):733-744.

Abstract
• We describe 71 cases of oromandibular reconstruction using microvascular composite free flaps. There was an overall flap success rate of 94%, while 97% of the patients in this series had their mandibles reconstructed with free vascularized bone flaps. Fifteen patients were rehabilitated with implant-borne dental prostheses. Primary repair of discontinuity defects of the inferior-alveolar nerve using a variety of nerve grafts was performed in 16 patients. A new classification scheme for composite defects of the oral cavity involving bone, soft tissue, and neurologic defects is proposed and applied in the description of each of the patients in this series.

(Arch Otolaryngol Head Neck Surg. 1991; 117:733-744)

Author Affiliations
From the Departments of Otolaryngology (Drs Urken, Lawson, and Biller), General Surgery/Division of Plastic Surgery (Drs Weinberg and Vickery), and Oral and Maxillofacial Surgery (Dr Buchbinder), Mount Sinai Medical Center, New York, NY.

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 Department of Otolaryngology, Box 1189, Mount Sinai Medical Center, 1 Gustave L. Levy Pl, New York, NY 10029 (Dr Urken).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Double Free-Flap Reconstruction: Indications, Challenges, and Prospective Functional Outcomes
Guillemaud et al.
Arch Otolaryngol Head Neck Surg 2009;135:406-410.
ABSTRACT | FULL TEXT  

Risk Factors Predicting Aspiration After Free Flap Reconstruction of Oral Cavity and Oropharyngeal Defects
Smith et al.
Arch Otolaryngol Head Neck Surg 2008;134:1205-1208.
ABSTRACT | FULL TEXT  

Latissimus-Serratus-Rib Free Flap for Oromandibular and Maxillary Reconstruction
Kim and Blackwell
Arch Otolaryngol Head Neck Surg 2007;133:791-795.
ABSTRACT | FULL TEXT  

Comparison of Radial Forearm With Fibula and Scapula Osteocutaneous Free Flaps for Oromandibular Reconstruction
Militsakh et al.
Arch Otolaryngol Head Neck Surg 2005;131:571-575.
ABSTRACT | FULL TEXT  

The Bridging Lateral Mandibular Reconstruction Plate Revisited
Blackwell and Lacombe
Arch Otolaryngol Head Neck Surg 1999;125:988-993.
ABSTRACT | FULL TEXT  

Volume-Length Impact of Lateral Jaw Resections on Complication Rates
Arden et al.
Arch Otolaryngol Head Neck Surg 1999;125:68-72.
ABSTRACT | FULL TEXT  

Oromandibular Reconstruction Using Microvascular Composite Flaps: Report of 210 Cases
Urken et al.
Arch Otolaryngol Head Neck Surg 1998;124:46-55.
ABSTRACT | FULL TEXT  

Fixed Mandibular Implant After Microvascular Mandibular Reconstruction
Li et al.
Arch Otolaryngol Head Neck Surg 1996;122:1308-1312.
ABSTRACT  

Lateral Mandibular Reconstruction Using Soft-Tissue Free Flaps and Plates
Blackwell et al.
Arch Otolaryngol Head Neck Surg 1996;122:672-678.
ABSTRACT  

Sensory Recovery in Noninnervated Flaps Used for Oral Cavity and Oropharyngeal Reconstruction
Close et al.
Arch Otolaryngol Head Neck Surg 1995;121:967-972.
ABSTRACT  

The Restoration or Preservation of Sensation in the Oral Cavity Following Ablative Surgery
Urken
Arch Otolaryngol Head Neck Surg 1995;121:607-612.
ABSTRACT  

A Systematic Approach to Functional Reconstruction of the Oral Cavity Following Partial and Total Glossectomy
Urken et al.
Arch Otolaryngol Head Neck Surg 1994;120:589-601.
ABSTRACT  

A New Bilobed Design for the Sensate Radial Forearm Flap to Preserve Tongue Mobility Following Significant Glossectomy
Urken and Biller
Arch Otolaryngol Head Neck Surg 1994;120:26-31.
ABSTRACT  

Vascularized Bone Flaps in Oromandibular Reconstruction: A Comparative Anatomic Study of Bone Stock From Various Donor Sites to Assess Suitability for Enosseous Dental Implants
Moscoso et al.
Arch Otolaryngol Head Neck Surg 1994;120:36-43.
ABSTRACT  

Free Tissue Transfer for Skull Base Reconstruction Analysis of Complications and a Classification Scheme for Defining Skull Base Defects
Urken et al.
Arch Otolaryngol Head Neck Surg 1993;119:1318-1325.
ABSTRACT  

Otolaryngology--Head and Neck Surgery
Bailey
JAMA 1992;268:395-397.
ABSTRACT