Free rib graft reconstruction of the mandible: a forgotten option?

Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 1995-07, Vol.77 (4), p.278-282
Main Authors: Banerjee, A R, Westmore, G A
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Carcinoma, Squamous Cell - surgery
Female
Follow-Up Studies
Head and Neck Neoplasms - surgery
Humans
Length of Stay
Male
Mandible - surgery
Middle Aged
Ribs - transplantation
Surgical Flaps
Treatment Outcome
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Summary:Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider resection for tumour recurrence. A further three patients have died since operation, two from tumour recurrence and one from unrelated medical causes. Six patients have undergone long-term follow-up of between 22 and 78 months with a mean of 51 months. They have oral continence, take a normal or semisolid diet, and have satisfactory cosmesis. We present the first long-term follow-up of a series of patients undergoing mandibular reconstruction with a free rib graft and pectoralis major myocutaneous flap.
ISSN:0035-8843
1478-7083