Table 1. Profile and summary of all patients.
No. | Age/Sex | Primary disease | Mandible defect and site | Primary reconstruction | Outcome of primary reconstruction | Duration of presentation (mo) | Outcome of secondary reconstruction/remarks |
---|---|---|---|---|---|---|---|
1 | 32/F | SCCA | Left segment | Nasolabial flap only | Malocclusion, scar and contour deformity | 12 | Successful Dental rehabilitation |
2 | 23/F | Benign adamantinoma | Left segment | Reconstruction plate + free rib graft | Infection, loss of rib graft, sinus formation | 9 | Successful Developed Frey's syndrome |
3 | 34/M | Benign | Right segment | Recon plate with free rib graft | Infected sinus | 24 | Successful |
4 | 42/M | SCCA | Right segment | Free fibula partial loss | Loss of projection, contour loss, sinus, oral incompetence | 13 | Successful Dental rehabilitation |
5 | 62/M | Adenocystic ca. with osteoradionecrosis | Right segment | PMMC soft-tissue reconstruction only | Persistent sinus, osteomyelitis | 18 | Successful Plate infection, removed after 6 mo |
6 | 56/M | SCCA with ORN | Left segment | Plating | Discharging sinus with exposed plate | 20 | Successful |
7 | 22/ F | Ameloblastoma Condyle |
Left condyle and ramus | Nonvascular rib bone graft | Contour deformity, cross bite, chin deviation | 16 | Successful |
8 | 32/F | Benign Adamantinoma | Right segment with central segment | Reconstruction plate | Recon., plate fracture, contour defect, malocclusion | 22 | Successful |
9 | 21/M | Benign ameloblastoma | Central segment | Previous free fibula 5 y ago | Retrognathia | 60 | Successful Dental rehabilitation done |
10 | 17/M | Benign | Central segment | Reconstruction plate | Orocutaneous fistula | 6 | Successful |
11 | 66/M | SCCA | Central segment | Free fibula | Retrognathia, incompetence | 3 | Successful Exposed intraoral implant, removed after 6 mo |
12 | 63/M | SCCA | Left segment | Reconstruction plate | Plate infection, sinus | 11 | Successful |
13 | 46/M | SCCA/ORN | Right Segment | No reconstruction | Deformity/malocclusion | 30 | Successful |
14 | 58/M | SCCA | Left segment | Reconstruction plate | Deformity with plate fracture | 26 | Successful Skin necrosis, plate exposure, local flap cover, plate removal |
15 | 36/F | Ameloblastoma | Central | Reconstruction plate + rib graft | Loss of graft and fistula | 10 | Successful Dental rehabilitation |
16 | 39/M | SCCA | Right lateral | Reconstruction plate | Plate exposure | 24 | Successful |
17 | 30/M | SCCA | Right segment | PMMC | Trismus, contour deformity, malocclusion | 11 | Successful 2nd free flap to improve contour |
18 | 36/M | SCCA | Central | Reconstruction plate | Intraoral exposure of plate, fistula | 6 | Successful |
19 | 66/M | SCCA | Central | Reconstruction plate | Exposure and fistula | 12 | Successful |
20 | 68/M | SCCA | Central | Reconstruction plate | Infected plate with sinus | 16 | Successful |
21 | 33/M | SCCA | Left lateral | PMMC | Contour deformity, malocclusion | 8 | Successful |
Abbreviations: F, female; M, male; ORN, osteoradionecrosis; PMMC, pectoralis myocutaneous flap; SCCA, squamous cell carcinoma.