Retrospective analysis of complications in 190 mandibular resections and simultaneous reconstructions with free fibula flap, iliac crest flap or reconstruction plate: a comparative single centre study

Objectives The purpose of this study was to evaluate the incidence of complications following mandibular reconstruction and to analyse possible contributing factors. Materials and methods Clinical data and computed tomography scans of all patients who needed a mandibular reconstruction with a recons...

Full description

Saved in:
Bibliographic Details
Published in:Clinical oral investigations 2021-05, Vol.25 (5), p.2905-2914
Main Authors: Ritschl, Lucas M., Mücke, Thomas, Hart, Diandra, Unterhuber, Tobias, Kehl, Victoria, Wolff, Klaus-Dietrich, Fichter, Andreas M.
Format: Article
Language:English
Subjects:
Body mass index
Bone Transplantation
Computed tomography
Dentistry
Dosage
Fibula
Fibula - surgery
Free Tissue Flaps
Humans
Iliac crest
Ilium - surgery
Mandible
Mandible - diagnostic imaging
Mandible - surgery
Mandibular Neoplasms - surgery
Mandibular Reconstruction
Medicine
Microvasculature
Original
Original Article
Patients
Reconstructive Surgical Procedures
Retrospective Studies
Risk factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objectives The purpose of this study was to evaluate the incidence of complications following mandibular reconstruction and to analyse possible contributing factors. Materials and methods Clinical data and computed tomography scans of all patients who needed a mandibular reconstruction with a reconstruction plate, free fibula flap (FFF) or iliac crest (DCIA) flap between August 2010 and August 2015 were retrospectively analysed. Results One hundred and ninety patients were enrolled, encompassing 77 reconstructions with reconstruction plate, 89 reconstructions with FFF and 24 reconstructions with DCIA flaps. Cutaneous perforation was most frequently detected in the plate subgroup within the early interval and overall (each p = 0.004). Low body mass index (BMI) and total radiation dosage were the most relevant risk factors for the development of analysed complications. Conclusions Microvascular bone flaps have overall less skin perforation than reconstruction plates. BMI and expected total radiation dosage have to be respected in choice of reconstructive technique. Clinical relevance A treatment algorithm for mandibular reconstructions on the basis of our results is presented.
ISSN:1432-6981
1436-3771
DOI:10.1007/s00784-020-03607-8