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Regenerative Strategies for Maxillary and Mandibular Reconstruction pp 201–210Cite as

Principles of Mandibular Reconstruction with Vascularized Flaps

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Abstract

Mandibular reconstruction is often necessary after benign and malignant tumor expiration, traumatic defects, or congenital abnormalities. The goals of mandibular reconstruction are to reestablish mandibular continuity while also allowing for restoration of speech, esthetics, swallowing, and dental rehabilitation.

While there are many ways to reconstruct a mandible, the vascularized free flap is a predictable and reliable method for reconstruction. It is the preferred method of reconstruction when multiple tissue types need to be replaced or there is a relative paucity of vascularity in the native tissues, as in the previously radiated patient.

In this chapter, we will discuss our approach to reconstruction of the mandible with vascularized tissue. The three most common osteocutaneous flaps, the fibula, the deep circumflex iliac artery, and the scapula, will be discussed, including flap selections, harvest techniques, and avoidances of complications. In addition to the flaps, special cases such as reconstruction of a body-to-body defect, nerve repair, and condylar subunit will be discussed.

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Authors and Affiliations

  1. Department of Oral Maxillofacial Surgery, University of Maryland Dental School, Baltimore, MD, USA

    Nicholas Callahan, Joshua E. Lubek & Donita Dyalram

Authors
  1. Nicholas Callahan
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  2. Joshua E. Lubek
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  3. Donita Dyalram
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Corresponding author

Correspondence to Donita Dyalram .

Editor information

Editors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center Department of Oral and Maxillofacial Surgery, Oral, Head & Neck Oncology and Micro-vascular Reconstructive Surgery, Houston, TX, USA

    James C. Melville

  2. Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center Department of Oral and Maxillofacial Surgery, Oral, Head & Neck Oncology and Micro-vascular Reconstructive Surgery, Houston, TX, USA

    Jonathan W. Shum

  3. Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center Department of Oral and Maxillofacial Surgery, Houston, TX, USA

    Simon Young

  4. Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center Department of Oral and Maxillofacial Surgery, Houston, TX, USA

    Mark E. Wong

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Callahan, N., Lubek, J.E., Dyalram, D. (2019). Principles of Mandibular Reconstruction with Vascularized Flaps. In: Melville, J., Shum, J., Young, S., Wong, M. (eds) Regenerative Strategies for Maxillary and Mandibular Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-93668-0_15

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  • DOI: https://doi.org/10.1007/978-3-319-93668-0_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93667-3

  • Online ISBN: 978-3-319-93668-0

  • eBook Packages: MedicineMedicine (R0)

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