Treatment of mandibular osteoradionecrosis with submental artery island flap and reconstructive Ti-plate

VernacularTitle:颏下岛状皮瓣联合重建钛板治疗下颌放射性骨坏死
Author: Jin LI ; Jufeng CHEN ; Jiapeng LI ; Dan XIAN ; Lei WANG ; Junping LAO ; Chunmei YU
Publication Type:Journal Article
Keywords: Submental artery island flap; Reconstructive Ti-plate; Osteoradionecrosis
From: Journal of Practical Stomatology 2015;(2):215-218
CountryChina
Language:Chinese
Abstract: Objective:To investigate the clinical efficacy of reconstruction of the mandibular defect in patients with osteoradionecro-sis using submental artery island flap and reconstructive Ti-plate.Methods:20 cases with mandible osteoradionecrosis underwent par-tial mandibulectomy.The submental artery island flap and reconstructive Ti-plate were used to reconstruct the mandibular defects and adjacent soft tissue defects.The post-operative effects and flap successful rate were evaluated with a follow-up period of 6 to 1 8 months.Results:1 9 flaps were well survived,local necrosis in the remote end was observed in 1 flap,but survived by hyperbaric ox-ygen therapy and iodoform gauze dressing,no plate exposure was found after operation in the follow up period.All patients were satis-factory with the outlook.Conclusion:Submental artery island flap combined with reconstructive Ti-plate is feasible in the treatment of osteoradionecrosis.