Volume 39, Issue 4 , Pages 289-295, June 2011
Microvascular reconstruction of mandibular defects in paediatric patients☆
Abstract
Background
During mandibular reconstruction in paediatric patients special consideration must be given to the issues related to growth when restoration of the mandibular and maxillary relationship is essential for correct development of the facial skeleton, a dynamic process whereby mandibular and maxillary growth are strongly correlated. Wide resections, irradiated fields, infection at the recipient site, and scars are strong indications for using revascularized bone-containing free flaps.
Methods
Five patients were reviewed, with a follow-up ranging from 5 to 11 years. Measurements were performed on frontal and lateral views to assess mandibular angle symmetry, midline deviation and facial angle. Measurements were also made on orthopantomograms to assess differences in growth between the normal and reconstructed sides.
Results
Optimal functional and aesthetic results were obtained.
Conclusions
The data suggest that the reconstructed mandible undergoes growth, and that even if this process is unpredictable, it can be sufficient to allow appropriate development of the face.
Keywords: Mandibular reconstruction, Paediatric mandible reconstruction, Paediatric free flap
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☆ The authors disclose any source of funds or financial interest and any commercial associations that might pose or create a conflict of interest with information presented in manuscript.
PII: S1010-5182(10)00125-3
doi:10.1016/j.jcms.2010.05.005
© 2010 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Inc. All rights reserved.
Volume 39, Issue 4 , Pages 289-295, June 2011
