Skip to main content

Reconstruction of Defects of the Mandibular Angle

  • Chapter
  • First Online:
Craniomaxillofacial Reconstructive and Corrective Bone Surgery

Abstract

Unrepaired defects of the mandible, including the angle, ascending ramus, and posterior body, leave a significant deformity, both functional and aesthetic. The muscles of mastication pull the remaining mandible into a lingual relationship with the maxillary teeth, rendering the remaining teeth functionless. The soft tissues of the tongue and larynx lose their support, resulting in difficulty with oral competence and intelligible speech (Fig. 30.1).

 Deceased

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 239.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Watkinson JC, Breach NM. Free flaps in head and neck reconstructive surgery: a review of 77 cases. Clin Otolaryngol. 1991;16(4):350–3.

    Article  CAS  Google Scholar 

  2. Urken ML, Weinberg H, Vickery C, et al. Oromandibular reconstruction using microvascular composite free flaps. Arch Otolaryngol Head Neck Surg. 1991;117:724–32.

    Article  CAS  Google Scholar 

  3. Schusterman MA, Miller MJ, Reece GP, et al. A single center’s experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg. 1994;93:472–8.

    Article  CAS  Google Scholar 

  4. Schusterman MA, Reece GP, Kroll SS, et al. Use of the AO plate for immediate mandibular reconstruction in cancer patients. Plast Reconstr Surg. 1991;88:588–93.

    Article  CAS  Google Scholar 

  5. Serafin D, Riefkohl R, Thomas I, et al. Vascularized ribperiosteal and osteocutaneous reconstruction of the maxilla and mandible: an assessment. Plast Reconstr Surg. 1980;66:718–27.

    Article  CAS  Google Scholar 

  6. Richards MA, Poole MD, Godfrey AM. The serratus anterior/rib composite flap in mandibular reconstruction. Br J Plast Surg. 1985;38:466–77.

    Article  CAS  Google Scholar 

  7. O’Brien BM, Morrison WA, MacLeon AM, et al. Microvascular osteocutaneous transfer using the groin flap and iliac crest and the dorsalis pedis flap and second metatarsal. Br J Plast Surg. 1979;32(3):188–206.

    Article  Google Scholar 

  8. Corrigan AM, O’Neil TJ. The use of the compound radial forearm flap in oromandibular reconstruction. Br J Oral Maxillofac Surg. 1986;24(2):86–95.

    Article  CAS  Google Scholar 

  9. Swanson E, Boyd JB, Mulholland RS. The radial forearm osseocutaneous flap: a biomechanical study of the osteotomized radius. Plast Reconstr Surg. 1990;85:267–72.

    Article  CAS  Google Scholar 

  10. Soutar DS, McGregor IA. The radial forearm flap in intraoral reconstruction: the experience of 60 consecutive cases. Plast Reconstr Surg. 1986;78:1–8.

    Article  CAS  Google Scholar 

  11. Swartz WM, Banis JC, Newton ED, et al. The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg. 1986;77:530–45.

    Article  CAS  Google Scholar 

  12. Thomas A, Archibald S, Payk I, et al. The free medial scapular osteofasciocutaneous flap for head and neck reconstruction. Br J Plast Surg. 1991;44:477–82.

    Article  Google Scholar 

  13. Gilbert A, Teot L. The scapular crest pedicled bone graft. Plast Reconstr Surg. 1981;69(4):601–4.

    Article  Google Scholar 

  14. Hidalgo DA. Fibula free flap mandibular reconstruction. Clin Plast Surg. 1994;21:25–35.

    CAS  PubMed  Google Scholar 

  15. Schusterman MA, Reece GP, Miller MJ, et al. The osteocutaneous fibula flap: is the skin paddle reliable? Plast Reconstr Surg. 1992;90:787–93.

    Article  CAS  Google Scholar 

  16. Fossion E, Boeckx W, Jacobs D, et al. Microsurgical reconstruction of the irradiated mandible with deep iliac circumflex flap. Ann Chir Plast Esthet. 1992;37:246–51.

    CAS  PubMed  Google Scholar 

  17. Boyd JB. The place of the iliac crest in vascularized oromandibular reconstruction. Microsurgery. 1994;15:250–6.

    Article  CAS  Google Scholar 

  18. Urken ML, Weinberg H, Vickery C, et al. The combined sensate radial forearm and iliac crest free flaps for reconstruction of significant glossectomy-mandibulectomy defects. Laryngoscope. 1992;102:543–58.

    Article  CAS  Google Scholar 

  19. Mailaender P, Machens H-G, Waurick R, et al. Routine monitoring in patients with free tissue transfer by laser-Doppler flowmetry. Microsurgery. 1994;15:196–202.

    Article  CAS  Google Scholar 

  20. May JW, Chait LA, O’Brien BM, et al. The no-reflow phenomenon in experimental free flaps. Plast Reconstr Surg. 1978;61:256–63.

    Article  Google Scholar 

  21. Robb GL. Free scapular flap reconstruction of the head and neck. Clin Plast Surg. 1994;21:45–58.

    CAS  PubMed  Google Scholar 

  22. Jewer DD, Boyd JB, Manktelow RT, et al. Orofacial and mandibular reconstruction with the iliac crest flap: a review of 60 cases and a new method of classification. Plast Reconstr Surg. 1989;84:391–403.

    Article  CAS  Google Scholar 

Download references

Acknowledgment

I am indebted to the late Elizabeth K. Beahm who was a coauthor of this Chapter.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mark A. Schusterman .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Science+Business Media, LLC, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Schusterman, M.A., Beahm†, E.K. (2019). Reconstruction of Defects of the Mandibular Angle. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_28

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1529-3_28

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1528-6

  • Online ISBN: 978-1-4939-1529-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics