Bone contouring and fixation in functional, primary microvascular mandibular reconstruction
Corresponding Author
Dr. Daniel Buchbinder DMD
Department of Oral and Maxillofacial Surgery, Mount Sinai Medical Center, New York, New York
Department of Oral and Maxillofacial Surgery, Box 1187, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029Search for more papers by this authorDr. Mark L. Urken MD
Department of Otolaryngology, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Carlin Vickery MD
Department of General Surgery/Division of Plastic Surgery, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Hubert Weinberg MD
Department of General Surgery/Division of Plastic Surgery, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Hugh F. Biller MD
Department of Otolaryngology, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorCorresponding Author
Dr. Daniel Buchbinder DMD
Department of Oral and Maxillofacial Surgery, Mount Sinai Medical Center, New York, New York
Department of Oral and Maxillofacial Surgery, Box 1187, Mount Sinai Medical Center, One Gustave L. Levy Place, New York, NY 10029Search for more papers by this authorDr. Mark L. Urken MD
Department of Otolaryngology, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Carlin Vickery MD
Department of General Surgery/Division of Plastic Surgery, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Hubert Weinberg MD
Department of General Surgery/Division of Plastic Surgery, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorDr. Hugh F. Biller MD
Department of Otolaryngology, Mount Sinai Medical Center, New York, New York
Search for more papers by this authorAbstract
Experience in over 65 cases of microvascular mandibular reconstruction has resulted in the development of reliable techniques for bone fixation and contouring to achieve the best functional results. Methods of graft contouring and the application of rigid internal fixation are described in detail. Unusual situations in which the tumor extends through the buccal cortex of the mandible, and when condylar replacement is necessary, are presented. The options for managing these situations are discussed.
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