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March 1986

Irradiated Mandibular Autografts Update

Author Affiliations

From the Head and Neck Surgery Associates, Indianapolis.

Arch Otolaryngol Head Neck Surg. 1986;112(3):277-279. doi:10.1001/archotol.1986.03780030041008

• Nineteen patients underwent primary mandibular reconstruction with irradiated mandibular autografts. Ten were successful, with the longest follow-up being 7½ years; nine failed within six months. Although an excellent graft for size and contour, a 53% success rate is no better than any other primary grafting technique. We have abandoned this technique in most situations and presently are evaluating split-rib grafts and intraoperative radiation to in situ mandibles.

(Arch Otolaryngol Head Neck Surg 1986;112:277-279)