ePlasty: Vol. 18
Partial Resection of a Reconstruction Plate After Mandibular Reconstruction Using a Free Fibula Osteocutaneous Flap: Another Approach to Keep It Simple
Luke T. Meredith, BS,a Bradley J. Vivace, BS,a Thomas J. Lee, MD,b and Bradon J. Wilhelmi, MDb

aUniversity of Louisville School of Medicine, Louisville, Ky; and bDepartment of Plastic and Reconstructive Surgery, University of Louisville, Ky


Correspondence: ltmere02@louisville.edu
Keywords: mandibular reconstruction, partial plate resection, orthognathic surgery, reconstructive plate complications, osteocutaneous flap

DESCRIPTION

This case involved partial resection of a Stryker reconstruction plate 10 years after mandibular reconstruction due to squamous cell carcinoma. The plate was removed because of fistula formation due to plate extrusion. Large wire cutters were used to partially remove the plate to avoid unnecessary injury to the tissue.

QUESTIONS

1. What is the relevant medical and surgical history of this patient?

2. Why is this procedure more complex in a patient who has undergone radiation therapy?

3. What was the procedure involved in this case?

4. Why was it advantageous to use large wire cutters to partially remove the plate?