Long-term evaluation of patients undergoing immediate mandibular reconstruction
| Autor: | Keith S. Heller, Alex E. Keller, Sanford Dubner |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Mandible Surgical Flaps Pectoralis Muscles Postoperative Complications Actuarial Analysis medicine Humans Longitudinal Studies Regular diet Mandibular reconstruction Aged Aged 80 and over Bone Transplantation business.industry Patient Selection Mandibular Prosthesis General Medicine Middle Aged Segmental Mandibulectomy Diet Surgery Survival Rate Oropharyngeal Neoplasms Evaluation Studies as Topic Carcinoma Squamous Cell Female Mouth Neoplasms business Complication Bone Plates Median survival Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 170:517-520 |
| ISSN: | 0002-9610 |
| Popis: | Background : Immediate reconstruction following segmental mandibulectomy is an accepted surgical technique. The benefits and patient selection criteria need to be established. Patients and methods : Forty-seven patients who underwent immediate reconstruction of the mandible were followed for up to 14 years. Survival, complication rates, and functional results were analyzed. Results : Median survival was 39 months and actuarial 5-year survival was 40%. Two patients died in the postoperative period, and 9 suffered major reconstruction-related complications. The majority of these complications were related to the use of reconstruction plates, and occurred when the mandibular defect included the arch or when the plates were covered by pectoralis flaps. Half of the patients interviewed were able to eat a regular diet. Conclusions : Mandibular reconstruction can be performed safely and expeditiously in nearly all patients undergoing segmental mandibulectomy. Functional results and long-term survival will be acceptable in many cases. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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