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January 1988

Mandibular Reconstruction: 'To Plate or Not to Plate'

Author Affiliations

Knoxville, Tenn

Arch Otolaryngol Head Neck Surg. 1988;114(1):17-19. doi:10.1001/archotol.1988.01860130021004

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At the fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Chicago, Patrick J. Gullane, MD, presented his experience using AO mandibular plates for reconstruction of segmented mandibular defects following tumor ablation. Dr Gullane and Ralph W. Gilbert, Toronto, presented their experience with 50 patients who were operated on between 1983 and 1987. They had an 84% success rate with five early and three late failures. They stressed the need for soft-tissue coverage of the plate, preferably with a musculocutaneous flap. This technique can be utilized for large defects, including angle-to-angle resections. They felt that younger patients with vascularized bone were the optimal candidates for the procedure. Patients more than 70 years old, those with diabetes mellitus, patients requiring revisional surgery, and those with contaminated necrotic tumors with massive defects, were felt to be unsuitable for this procedure. The authors stress the need for placing four

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