Experience with AO reconstruction plates after partial mandibular resection involving its continuity

Adaquate fixation of plates for stability during mandibular reconstruction

“…Although some retrospective clinical studies recommended the use of a modified plate system (Stoll et al, 1992;Gellrich et al, 2004;Lopez et al, 2004), the rate of plate-related complications is still high (Freitag et al, 1991;Stoll et al, 1992;Lavertu et al, 1994;Boyd et al, 1995;Blackwell et al, 1996;Ueyama et al, 1996;Arden et al, 1999;Blackwell and Lacombe, 1999;Minnen et al, 2002;Wei et al, 2003;Lopez et al, 2004).…”

A Three Dimensional Analysis of Reconstruction Plates used in Different Mandibular Defects

“…One problem associated with conventional plate systems is the frequent incidence of complications such as screw loosening, plate exposure and plate fractures once masticator function is recovered (7). Although some retrospective clinical studies recommended the use of a modified plate system (4,10,16,20), the rate of plate-related complications is still high (3,10,13,20,22). the greatest causes for complications are size and location of the defects (5, 7).…”

Increased plate and osteosynthesis related complications associated with postoperative concurrent chemoradiotherapy in oral cancer

“…Kin and Donoff 24 and Klotch and Prein 20 reported increased complication rates in irradiated fields, whereas others have reported no adverse effect. 22,25,26 According to Choi et al, radiation therapy does not impact local complication rates after free flap reconstruction for head and neck cancer. 25 In a study of 100 patients who underwent free fibula flap reconstruction of the mandible, 54% of 28 patients in the no radiotherapy group, 65% of 37 patients in the preoperative radiotherapy group, and 46% of 35 patients in postoperative radiotherapy group had complications of any severity.…”