Vascularized bony reconstruction after mandibular resection −Report and discussion of experience with 3 types of plates−

Abstract

Reconstruction using a vascularized bone composite flap is currently the standard treatment after resection of the mandible and various types of plates are used. In our department, we mainly perform reconstruction using the scapula and have used three types of plates: mini plates, reconstruction plates, and custom-made plates that have recently been covered by insurance in Japan. In this paper, we compared the miniplate and the reconstruction plate and found that the ischemic time in the cases of the reconstruction plate was shorter than that of the miniplate. In addition, we show an overview of a vascularized scapular flap reconstruction case using a custom-made plate after hemimandibulectomy.