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

William W. Shockley, MD; Mark C. Weissler, MD; Harold C. Pillsbury, MD; Arlen D. Meyers, MD, MBA; ARLEN D. MEYERS, MD, MBA

Arch Otolaryngol Head Neck Surg. 1991;117(7):750.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Reconstruction of the mandible continues to be one of the greatest challenges of head and neck reconstructive surgery. The ultimate goal is to restore the functional and cosmetic integrity of the mandible in one stage without compromising oncologic principles. The myriad list of reconstructive possibilities includes plating, vascularized bone grafts, and the use of alloplastic materials.

See also pp 745-749.

Shockley et al¹ present the experience of the University of North Carolina, Chapel Hill, with 19 patients using metallic reconstructive plates with soft-tissue coverage. Their overall success rate of 79% is consistent with the results reported elsewhere and adds support to using this option when the circumstances warrant. The 50% complication rate using the plate in combination with pectoralis major myocutaneous flaps is distressing, but too few patients are included in the study to pinpoint the cause of the problem.

Several issues are still controversial in the use of . . . [Full Text PDF of this Article]

Author Affiliations
Colorado School of Medicine Denver, Colo

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