World J Oral Maxillofac Surg | Volume 6, Issue 1 | Case Report | Open Access

A Case Report of Free Fibular Osteocutaneous Flap Reconstruction with Difficult Stainless Steel Mandibular Plate Extraction, a Case Post Mandibular Resection for Ameloblastoma

Jatin G^*, Veena S, Anupama K and Niraj B

Maxillofacial Surgery Unit, India

^*Correspondance to: Jatin Goel 

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Abstract

Locking reconstruction plates have led to significant improvement in osteosynthesis and graft anchorage in mandibular reconstruction following the free fibula osteocutaneous flap. Plate extrusion is the most common complication associated with mandibular reconstruction, occurring in approximately 20% to 48% of cases; often necessitating plate removal once the bone flap has united to the mandible. It is advised to perform definitive vascularized bone grafting with plate fixation as an index surgery rather than performing reconstructive plate fixation, as the complication rates with infection, exposure and requirement of later plate extraction is high. In this case, we report the successful removal of an exposed mandibular reconstruction plate from a 21-year-old woman 13 months after her initial reconstruction with free iliac crest bone grafting and reconstruction plate in a case of right sided ameloblastoma.

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Citation:

Jatin G, Veena S, Anupama K, Niraj B. A Case Report of Free Fibular Osteocutaneous Flap Reconstruction with Difficult Stainless Steel Mandibular Plate Extraction, a Case Post Mandibular Resection for Ameloblastoma. World J Oral Maxillofac Surg. 2023; 5(1): 1048..