The Role of Imaging in Mandibular Reconstruction with Microvascular Surgery

Oral Maxillofac Surg Clin North Am. 2023 Aug;35(3):327-344. doi: 10.1016/j.coms.2023.01.002. Epub 2023 Apr 7.

Abstract

Imaging plays a critical role in the diagnosis, staging, and management of segmental mandibular defects. Imaging allows mandibular defects to be classified which aids in microvascular free flap reconstruction. This review serves to complement the surgeon's clinical experience with image-based examples of mandibular pathology, defect classification systems, reconstruction options, treatment complications, and Virtual Surgical Planning.

Keywords: Facial trauma; Fibular free flap; Mandibular reconstruction; Microvascular reconstruction; Squamous cell carcinoma; Virtual surgical planning.

Publication types

  • Review

MeSH terms

  • Bone Transplantation / methods
  • Fibula
  • Free Tissue Flaps* / blood supply
  • Humans
  • Imaging, Three-Dimensional
  • Mandible / diagnostic imaging
  • Mandible / surgery
  • Mandibular Neoplasms* / surgery
  • Mandibular Reconstruction* / methods