2014 年 27 巻 2 号 p. 48-55
Although mandibular reconstruction plates ( MRP ) are often used for mandibular reconstruction, plate-related surgical complications such as plate infection or exposure have been reported. We developed a new technique named “no touch technique” to prevent postoperative MRP infection, and our experience of this new procedure was reported.
Between 2010 and 2012, the new operative procedure was applied for mandibular reconstruction using MRP in 9 patients ( 4 men and 5 women ; mean age, 75.0 years ). A rectus abdominis musculocutaneous flap was used for soft tissue coverage in most cases. Mandible bridging with MRP was reestablished after completion of free flap transplantation and vascular anastomosis. In this way, MRP could be kept out of contact with the oral mucosa and saliva due to complete separation of the neck area from the oral cavity. Finally, dead spaces around the MRP were meticulously filled with soft tissue flap. All free flaps survived successfully and no local complications related to MRP were observed.
The no touch technique during plate fixation and sufficient soft tissue coverage to fill the dead space might reduce postoperative complications in cases after MRP reconstruction. More clinical experience and long-term follow-up are necessary to establish this procedure.
