Part of this work was presented at the Spring Meeting of the Canadian Society of Otolaryngology, Victoria, British Columbia, Canada, May 22–24, 2011.
How I Do It
Article first published online: 16 AUG 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 9, pages 1896–1898, September 2011
How to Cite
Jaquet, Y., Higgins, K. M. and Enepekides, D. J. (2011), Pin guidance of reconstruction plate contour: An expanded role of external fixation. The Laryngoscope, 121: 1896–1898. doi: 10.1002/lary.21905
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 24 AUG 2011
- Article first published online: 16 AUG 2011
- Manuscript Accepted: 9 MAY 2011
- Manuscript Revised: 3 MAY 2011
- Manuscript Received: 10 JAN 2011
- External fixation;
- dental occlusion;
- free flaps;
- mandibular neoplasms;
- oral cavity;
- free tissue flaps;
- bone pins
This article presents a modification of intraoperative external fixation for mandibular reconstruction with free tissue flaps. This technique is indicated when preregistration of the reconstruction plate is not possible due to transmandibular tumor extension. Once standard external fixation has been carried out and prior to segmental mandibulectomy, additional pins are fixed to the connecting rod that delineate the mandibular contour in three-dimensional (3D) space. Following mandibulectomy, these pins allow accurate contouring of the reconstruction plate and improved restoration of mandibular contour, projection, and dental occlusion. A step-by-step description of the technique using models and intraoperative photos is presented. This method of mandibular reconstruction is a simple and time-effective alternative to intraoperative computer navigation and 3D modeling in select cases of oral carcinoma where tumor infiltration of the outer mandibular cortex precludes prebending of the reconstruction plates.