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dc.contributor.authorAleid, Wesam
dc.contributor.authorJones, Keith
dc.contributor.authorLaugharne, David
dc.date.accessioned2016-10-19T13:50:34Z
dc.date.available2016-10-19T13:50:34Z
dc.date.issued2011-09
dc.identifier.citation
dc.identifier.urihttps://orda.derbyhospitals.nhs.uk/handle/123456789/523
dc.description.abstractThe mandible is an important component of the orofacial skeleton, and resection of part of the mandible as part of head and neck oncological procedures can have dramatic impact on both function and cosmesis. In this article, we describe a new technique in the resection osteotomy and flap fixation that improves the stability and aesthetic outcome of the reconstruction. The mandibular resection is performed utilizing a horizontal osteotomy above the mandibular angle on one side and a stepped body or angle osteotomy on the other side. Our technique is unique as it allows flexibility in adjusting the chin point projection to give the best possible aesthetic outcome; it allows more bone-to-bone contact, which increases the stability; it reduces rotation; and it allows for use of miniplate fixation, facilitating future rehabilitation with implants. We have been using this technique with great success in our hospital, and we recommend its use for its improved flexibility, stability, and aesthetic outcome.language
dc.language.isoenlanguage
dc.subjectOrofacial Skeletonlanguage
dc.subjectFlap Fixationlanguage
dc.subjectMandibularlanguage
dc.titleThe horizontal and stepped osteotomy technique for mandibular reconstruction using fibular free flap.language
dc.typeArticlelanguage


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