Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects

Mark L. Urken; Hubert Weinberg; Carlin Vickery; Daniel Buchbinder; William Lawson; Hugh F. Biller

doi:10.1001/archotol.1991.01870190045010

Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects

Mark L. Urken, Hubert Weinberg, Carlin Vickery, Daniel Buchbinder, William Lawson, Hugh F. Biller

Research output: Contribution to journal › Article › peer-review

309 Scopus citations

Abstract

• We describe 71 cases of oromandibular reconstruction using microvascular composite free flaps. There was an overall flap success rate of 94%, while 97% of the patients in this series had their mandibles reconstructed with free vascularized bone flaps. Fifteen patients were rehabilitated with implant-borne dental prostheses. Primary repair of discontinuity defects of the inferior-alveolar nerve using a variety of nerve grafts was performed in 16 patients. A new classification scheme for composite defects of the oral cavity involving bone, soft tissue, and neurologic defects is proposed and applied in the description of each of the patients in this series. (Arch Otolaryngol Head Neck Surg. 1991; 117:733-744)

Original language	English
Pages (from-to)	733-744
Number of pages	12
Journal	JAMA Otolaryngology - Head and Neck Surgery
Volume	117
Issue number	7
DOIs	https://doi.org/10.1001/archotol.1991.01870190045010
State	Published - Jul 1991

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Urken, M. L., Weinberg, H., Vickery, C., Buchbinder, D., Lawson, W., & Biller, H. F. (1991). Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects. JAMA Otolaryngology - Head and Neck Surgery, 117(7), 733-744. https://doi.org/10.1001/archotol.1991.01870190045010

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title = "Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects",

abstract = "• We describe 71 cases of oromandibular reconstruction using microvascular composite free flaps. There was an overall flap success rate of 94%, while 97% of the patients in this series had their mandibles reconstructed with free vascularized bone flaps. Fifteen patients were rehabilitated with implant-borne dental prostheses. Primary repair of discontinuity defects of the inferior-alveolar nerve using a variety of nerve grafts was performed in 16 patients. A new classification scheme for composite defects of the oral cavity involving bone, soft tissue, and neurologic defects is proposed and applied in the description of each of the patients in this series. (Arch Otolaryngol Head Neck Surg. 1991; 117:733-744)",

author = "Urken, {Mark L.} and Hubert Weinberg and Carlin Vickery and Daniel Buchbinder and William Lawson and Biller, {Hugh F.}",

year = "1991",

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Urken, ML , Weinberg, H, Vickery, C, Buchbinder, D , Lawson, W & Biller, HF 1991, 'Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects', JAMA Otolaryngology - Head and Neck Surgery, vol. 117, no. 7, pp. 733-744. https://doi.org/10.1001/archotol.1991.01870190045010

Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects. / Urken, Mark L.; Weinberg, Hubert; Vickery, Carlin et al.
In: JAMA Otolaryngology - Head and Neck Surgery, Vol. 117, No. 7, 07.1991, p. 733-744.

Research output: Contribution to journal › Article › peer-review

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Oromandibular Reconstruction Using Microvascular Composite Free Flaps: Report of 71 Cases and a New Classification Scheme for Bony, Soft-Tissue, and Neurologic Defects

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