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|Title:||Long-term results of partial double-barrel vascularized fibula graft in symphysis for extensive mandibular reconstruction|
|Citation:||Shen, Y., Sun, J., Li, J., Shi, J., Ow, A. (2012). Long-term results of partial double-barrel vascularized fibula graft in symphysis for extensive mandibular reconstruction. Journal of Oral and Maxillofacial Surgery 70 (4) : 983-991. ScholarBank@NUS Repository. https://doi.org/10.1016/j.joms.2011.02.125|
|Abstract:||Purpose: This study aimed to retrospectively review patients who underwent reconstruction of large mandibular defects with partial double-barrel vascularized fibula graft in the symphysis. Materials and Methods: Ten patients who underwent reconstruction of large mandibular defects with partial double-barrel vascularized fibula graft in the symphysis (n = 6) and partial double-barrel vascularized fibula graft in the symphysis combined with condylar prosthesis (n = 4) were reviewed. Five patients accepted secondary implantation postoperatively. Measurements of chin labial angle on lateral cephalograms and bone height on panoramic radiographs were performed at 2 years postoperatively in 8 patients. Measurements of chin labial angle were compared with preoperative values. Bone height measurements were compared with measurements obtained preoperatively and at 1 month postoperatively. Eight patients with follow-up greater than 2 years were also asked to rate their satisfaction with their facial appearance. Results: The mean follow-up period was 43.0 months. Bony union and wound healing were observed in all patients during the follow-up period. There was no significant difference in the mean chin labial angle between preoperative measurements and measurements at 2 years postoperatively (P =.128). There was no significant difference in mean bone height between 1 month postoperatively and 2 years postoperatively (P >.05). Eight patients reported that their facial appearance was excellent or good at 2 years postoperatively. Conclusions: Reconstruction of large mandibular defects with partial double-barrel vascularized fibula graft in the symphysis could not only achieve good facial appearance and function but also maintain soft and hard tissue stability in the long term. © 2012 American Association of Oral and Maxillofacial Surgeons.|
|Source Title:||Journal of Oral and Maxillofacial Surgery|
|Appears in Collections:||Staff Publications|
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