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At the recent meeting of the Eastern Section of the Triological Society in Boston, Robert M. Kellman, MD, and colleagues of the State University of New York Upstate Medical Center, Syracuse, presented their experience with mandibular reconstruction in 21 patients. They used the pectoralis major flap for oral closure and an A-O plate to restore continuity of the mandible in all cases. Whenever possible, they formed the A-O plate according to the existing mandibular contour prior to resecting the involved segment. Fourteen of their reconstructions were performed for anterior defects, and the patients would otherwise have had an Andy Gump–type deformity. Twenty of the 21 cases were reconstructed primarily. Many of the patients had failed prior radiation therapy.
Nine patients developed plate exposure; five in the mouth and four through the face-neck flap. Their follow-up was relatively brief, from two to 48 months.
The authors state that they had more
GOODWIN WJ. Use of the A-O Mandibular Reconstruction Plate After Mandibular Resection for Squamous Cell Carcinoma. Arch Otolaryngol Head Neck Surg. 1987;113(8):811. doi:10.1001/archotol.1987.01860080017005
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