Mandibular reconstruction in head and neck cancer: which is the gold standard?

Introduction The aim of this study is to perform a systematic review to compare the outcomes of the different surgical options for mandibular reconstruction in head and neck cancer. Material and methods 93 articles were selected. Four groups were identified: titanium plate without flaps, titanium pl...

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Bibliographic Details
Published in:European archives of oto-rhino-laryngology 2023-09, Vol.280 (9), p.3953-3965
Main Authors: Molteni, Gabriele, Gazzini, Luca, Sacchetto, Andrea, Nocini, Riccardo, Comini, Lara Valentina, Arietti, Valerio, Locatello, Luca Giovanni, Mannelli, Giuditta
Format: Article
Language:English
Subjects:
Head and Neck Surgery
Medicine
Medicine & Public Health
Neurosurgery
Otorhinolaryngology
Review Article
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Summary:Introduction The aim of this study is to perform a systematic review to compare the outcomes of the different surgical options for mandibular reconstruction in head and neck cancer. Material and methods 93 articles were selected. Four groups were identified: titanium plate without flaps, titanium plate covered by soft tissue flap, bone tissue flaps and double flaps. We compared patients’ characteristics, site of mandibulectomy, type of reconstruction and complications. Results 4697 patients were reported. The groups were not homogeneous regarding the type of defect and the treatment history. A significant difference in terms of post-operative complications was found between group 1 and group 2 ( p  
ISSN:0937-4477
1434-4726
DOI:10.1007/s00405-023-08050-5