Mandibular reconstruction after tumor surgery with different surgical techniques: free vascularized flap, fibula graft and frozen mandibular graft

2011 ◽  
Vol 40 (10) ◽  
pp. 1070-1071
Author(s):  
P.A. Tapia ◽  
J.A. Munzenmayer ◽  
J.E. Zeballos ◽  
A.A. Compan ◽  
A. Urra
Keyword(s):  
Surgical Techniques ◽  
Mandibular Reconstruction ◽  
Tumor Surgery ◽  
Fibula Graft

scholarly journals Fracture of the tibia after a fibula graft for mandibular reconstruction: A rare complication, report of a case

2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Ru‐shan Goey ◽  
Bert van Drunen ◽  
Enrike van der Linden ◽  
J.P. Richard van Merkesteyn
Keyword(s):  
Rare Complication ◽  
Mandibular Reconstruction ◽  
Fibula Graft

scholarly journals Long-Term Changes in Bone Height After Mandibular Reconstruction Using a Free Fibula Graft in an Elderly Population

2017 ◽  
Vol 75 (12) ◽  
pp. 2682-2688 ◽  
Author(s):  
Kosuke Ishikawa ◽  
Yuhei Yamamoto ◽  
Hiroshi Furukawa ◽  
Yoichi Ohiro ◽  
Akira Satoh ◽  
...  
Keyword(s):  
Elderly Population ◽  
Mandibular Reconstruction ◽  
Fibula Graft ◽  
Long Term Changes ◽  
Free Fibula ◽  
Bone Height ◽  
Free Fibula Graft

Extensive mandibular reconstruction with non-vascularized fíbula graft and implants rehabilitation: case report

2019 ◽  
Vol 48 ◽  
pp. 143
Author(s):  
L.C.G. Nobre ◽  
L.P.S. Zerbinati ◽  
F.B. Pereira Júnior ◽  
A.L.P.C. Sobrinho ◽  
A.S. Perez ◽  
...  
Keyword(s):  
Case Report ◽  
Mandibular Reconstruction ◽  
Fibula Graft ◽  
Vascularized Fibula ◽  
Vascularized Fibula Graft

The vascularized fibula graft in mandibular reconstruction

1992 ◽  
Vol 90 (3) ◽  
pp. 543
Author(s):  
Ezatollah Hazrati ◽  
J. M Serra ◽  
a Palom ◽  
s Ballestero
Keyword(s):  
Mandibular Reconstruction ◽  
Fibula Graft ◽  
Vascularized Fibula ◽  
Vascularized Fibula Graft

Predicting Blood Loss and Transfusion Requirement in Patients Undergoing Surgery for Musculoskeletal Tumors

Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 4384-4384
Author(s):  
Philip A Thompson ◽  
Deborah May ◽  
Peter Choong ◽  
Scott McArdle ◽  
Mary Gaskell ◽  
...  
Keyword(s):  
Blood Loss ◽  
Conflicts Of Interest ◽  
Surgical Techniques ◽  
Risk Groups ◽  
Tumor Surgery ◽  
Musculoskeletal Tumor ◽  
Asa Score ◽  
Musculoskeletal Tumors ◽  
Major Orthopedic Surgery ◽  
Blood Utilization

Abstract Abstract 4384 The management of musculoskeletal tumors has evolved markedly over the past 30 years, with improvements in surgical techniques, staging and chemotherapeutic advances delivering improved survival and functional outcomes, both in the setting of primary malignant bone tumors and in the palliation of tumors metastatic to bone. Advances in surgical technique as well as pre-operative chemotherapy has meant that most patients are now able to undergo limb-sparing surgery. Whilst clearly desirable to improve functional outcome, limb-sparing surgery is however more technically challenging and is associated with greater blood loss than amputation. There is a paucity of data concerning blood utilization in the setting of major musculoskeletal tumor surgery. We retrospectively analyzed a database containing 1322 consecutive surgeries in 1222 patients over a 14 year timeframe, performed at a quaternary referral center in Melbourne, Australia. The following factors were significantly associated with high blood utilization: Chordomas, sacral and pelvic tumors, lower starting haemoglobin, tumors >5cm in size and high American Society of Anesthesiologists (ASA) score. The ASA score also clearly correlated with 30 day mortality. Pre-operative planning in these patients is critical to ensure adequate blood supply, minimize wastage and optimize the patient's general health prior to surgery. As such, based on modeling from our data, we propose a maximum surgical blood order schedule based on the presence or absence of the above factors. Allogeneic blood transfusion, while a potentially life-saving intervention, is associated with major complications, including transmission of infectious agents and immunological complications. Longer-term, transfusion has been reported to result in immunomodulation and potentially a higher risk of tumor recurrence. Clearly, minimization of blood loss and avoidance of un-necessary transfusion is desirable. There is also a lack of data surrounding interventions designed to minimize blood loss in musculoskeletal tumor surgery, especially when compared to similar studies performed in major orthopedic surgery for benign conditions. These would be ideal targets for future randomized studies in the high-risk groups we have identified. Disclosures: No relevant conflicts of interest to declare.

The Evolution of the Iliac Crest Flap

2019 ◽  
pp. 449-454
Author(s):  
Peirong Yu ◽  
Mark V. Schaverien
Keyword(s):  
Iliac Crest ◽  
Donor Site ◽  
Surgical Techniques ◽  
Perforator Flap ◽  
Donor Site Morbidity ◽  
Postoperative Management ◽  
Mandibular Reconstruction ◽  
Thigh Muscle ◽  
Iliac Crest Flap ◽  
The Many

The iliac crest free flap, although the gold standard for many years for mandibular reconstruction, remains an important option in the armamentarium for mandibular reconstruction. With the increasing popularity of the fibula osteocutaneous flap, which allows for more refined reconstruction and permits multiple osteotomies, the iliac crest flap is typically reserved for where the fibula flap is contraindicated, including in those with peripheral vascular disease, peroneal magnum, history of fibula fractures, and with previous bilateral fibular flaps. The many limitations of the traditional osteomusculocutaneous flap have been overcome by modified approaches to harvest, including the split iliac crest based on the inner cortex to preserve the thigh muscle attachments and reduce donor site morbidity, and the deep circumflex iliac artery perforator flap that does not include the bulky abdominal wall musculature and allows greater freedom of movement of the skin paddle. This chapter reviews the indications, anatomy, surgical techniques, and postoperative management for the free iliac crest flap.

Comparative study of locking plates in mandibular reconstruction after ablative tumor surgery: THORP versus UniLOCK system

2004 ◽  
Vol 62 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Nils-Claudius Gellrich ◽  
Maria Mercedes Suarez-Cunqueiro ◽  
Xose Luis Otero-Cepeda ◽  
Ralf Schön ◽  
Rainer Schmelzeisen ◽  
...  
Keyword(s):  
Comparative Study ◽  
Mandibular Reconstruction ◽  
Tumor Surgery ◽  
Locking Plates
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