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European Archives of Oto-Rhino-Laryngology

Published in:

03-06-2023 | Review Article

Mandibular reconstruction in head and neck cancer: which is the gold standard?

Authors: Gabriele Molteni, Luca Gazzini, Andrea Sacchetto, Riccardo Nocini, Lara Valentina Comini, Valerio Arietti, Luca Giovanni Locatello, Giuditta Mannelli

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2023

Abstract

Introduction

The aim of this study is to perform a systematic review to compare the outcomes of the different surgical options for mandibular reconstruction in head and neck cancer.

Material and methods

93 articles were selected. Four groups were identified: titanium plate without flaps, titanium plate covered by soft tissue flap, bone tissue flaps and double flaps. We compared patients’ characteristics, site of mandibulectomy, type of reconstruction and complications.

Results

4697 patients were reported. The groups were not homogeneous regarding the type of defect and the treatment history. A significant difference in terms of post-operative complications was found between group 1 and group 2 (p < 0.00001), and between group 2 and group 3 (p < 0.00001). Total complications rate for group 4 was significantly higher when compared to group 3 (p < 0.00001), but no significant difference was found with group 2.

Conclusion

These results suggest that mandibular reconstruction using a microvascular bone flap is the best surgical option in patients without significant comorbidities.

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Title: Mandibular reconstruction in head and neck cancer: which is the gold standard?
Authors: Gabriele Molteni
Luca Gazzini
Andrea Sacchetto
Riccardo Nocini
Lara Valentina Comini
Valerio Arietti
Luca Giovanni Locatello
Giuditta Mannelli
Publication date: 03-06-2023
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08050-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mandibular reconstruction in head and neck cancer: which is the gold standard?

Abstract

Introduction

Material and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusion

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