J Oral Med Oral Surg
Volume 27, Number 1, 2021
|Number of page(s)||5|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||07 December 2020|
Up-to Date Review And Case Report
Current indications of mandibular condyle plate osteosynthesis: two cases reports
Centre de chirurgie orale, Hôpital privé des côtes d'Armor, Plérin, France
2 Centre de chirurgie cervico-faciale et d'ORL, Hôpital privé des côtes d'Armor, Plérin, France
* Correspondence: firstname.lastname@example.org
Accepted: 26 August 2020
Introduction: Certain benign or malignant pathologies may require a mandibulectomy with resection of the condyle. The gold standard for this type of reconstruction is the microanastomosed fibular free flap. An immediate reconstruction technique using an osteosynthesis plate with condyle can be proposed. The aim of this article is to evaluate the indications and describe the complications of osteosynthesis plates with condyle, through the presentation of two clinical cases. Observation: Two patients were treated by radical hemi-mandibulectomy, with cervical curage, placement of an osteosynthesis plate with condyle, and coverage with flap of pectoralis major. Then they received radiation therapy with or without chemotherapy. No cases of erosion of the glenoid fossa or tympanal bone were found. Comments: Condyle osteosynthesis plates are an interesting alternative when a fibular flap cannot be performed for local (arteriopathy), carcinologic (poor prognosis), or general and anesthesic reasons. A tissue preservation protocol, with conformation and coverage of the plate must be undertaken to limit the risk of complications (infections, exposure and fracture of the plate, temporal bone erosion, heterotopic bone formations). Conclusion: Condyle osteosynthesis plates restore aesthetic and function immediately, temporarily or even permanently. Clinical and radiological follow-up must be established following this type of reconstruction.
Key words: Osteosynthesis plate / mandibular condylar / mandibular reconstruction / case report
© The authors, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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