To the Editor.—I very much enjoyed reading the report by Albert et al,1 "Dacron Mesh Tray and Cancellous Bone in Reconstruction of Mandibular Defects," in the January 1986 issue of the Archives. I felt it was an excellent article, and I am in complete agreement with their recommendation of delayed reconstruction to allow for adequate soft-tissue coverage internally and externally prior to attempted reconstruction. However, it is my suspicion that the future of mandibular reconstruction lies in use of vascularized flaps, either pedicled or free, rather than bone grafts. To that end, in our laboratory we have been doing some experimental work on dogs and guinea pigs using a myoosseous flap consisting of anterior belly of digastric muscle, inferior rim of ipsilateral mandible, supplied by the submental branch of the facial artery, to be used in reconstruction of contralateral mandible. We have had some encouraging initial results. We
RUBIN JS. Mandible Reconstruction. Arch Otolaryngol Head Neck Surg. 1986;112(4):455. doi:10.1001/archotol.1986.03780040095024
Customize your JAMA Network experience by selecting one or more topics from the list below.