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Maxillofacial Plastic and Reconstructive Surgery

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Open Access 01-12-2019 | Case report

Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases

Authors: Sang-Hoon Kang, Sanghoon Lee, Woong Nam

Published in: Maxillofacial Plastic and Reconstructive Surgery | Issue 1/2019

Abstract

Background

Condylar dislocation can arise as a complication in patients who required mandibular and/or condylar reconstruction and were operated on with fibula free flap (FFF) using surgical guides designed using simulation surgery. Surgeons should be aware of the complications in these present cases when planning and performing reconstructions as well as predicting prognoses.

Cases presentation

Two cases showed condylar dislocation in mandibular reconstruction using a FFF fixed with a reconstruction plate. Three cases showed condylar dislocation in mandibular reconstruction using a fibula free flap fixed with a mini-plate.

Conclusion

Despite the lack of clinical symptoms in these cases following mandibular reconstruction using an FFF, the mandibular condyle was severely displaced away from the glenoid fossa. A surgeon must have sufficient time to consider the use of a long flap with thickness similar to that of the mandible, ways to minimize span and bending, and methods of fixation. The patient, moreover, should be educated on condylar dislocation. Customized CAD/CAM-prototyped temporomandibular condyle-connected plates may be a good alternative even if virtual simulation surgery is to be performed before surgery. These considerations may help reduce the incidence of complications after mandibular reconstruction.

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Title: Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases
Authors: Sang-Hoon Kang
Sanghoon Lee
Woong Nam
Publication date: 01-12-2019
Publisher: Springer Berlin Heidelberg
Published in: Maxillofacial Plastic and Reconstructive Surgery / Issue 1/2019
Electronic ISSN: 2288-8586
DOI: https://doi.org/10.1186/s40902-019-0197-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases

Abstract

Background

Cases presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Cases presentation

Conclusion

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