' '
Deutsch | English    

Forschungsdatenbank PMU-SQQUID

Analysis of an in-house technique for temporary mandibulotomy and its impact on postoperative radiotherapy.
Hachleitner, J; Brandtner, C; Gaggl, A; Kopp, M; Fastner, G; Moser, G; Roesch, S;
Int J Oral Maxillofac Surg. 2019; 48(4):468-474
Originalarbeiten (Zeitschrift)

PMU-Autor/inn/en

Brandtner Christian
Fastner Gerd
Gaggl Alexander
Hachleitner Johannes
Kopp Michael
Moser Gerhard
Rösch Sebastian

Abstract

The purpose of this study was to describe a newly developed procedure for temporary mandibulotomy and subsequent osteosynthesis. Clinical outcomes were evaluated, including complications and the impact on postoperative treatment, particularly postoperative radiotherapy. Twenty-four patients underwent temporary mandibulotomies for the surgical resection of malignancies located in the posterior oral or oropharyngeal region. All were treated with postoperative radiotherapy. An angulated median mandibulotomy was followed by osteosynthesis with three anchor screws directed towards the inferior aspect of the mandible. Anchor screws are modified conventional lag screws that include an additional biconcave washer. This modification prevents the screw heads from cracking into the cancellous bone during tightening, improving their biomechanical qualities considerably. Insertion of screws at any angle to the bony surface therefore becomes possible, which is a precondition for this technique. Minor complications occurred in two patients in the early postoperative period. However, complications causing bony non-union, leading to postponed postoperative radiotherapy were not noted in this cohort.


Find related publications in this database (Keywords)

temporary mandibulotomy
osteotomy design
anchor screw osteosynthesis
fracture healing
postoperative radiotherapy