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  • Title: Free rib graft reconstruction of the mandible: a forgotten option?
    Author: Banerjee AR, Westmore GA.
    Journal: Ann R Coll Surg Engl; 1995 Jul; 77(4):278-82. PubMed ID: 7574320.
    Abstract:
    Eleven patients underwent primary mandibular reconstruction following resection of a head and neck squamous cell carcinoma. Reconstruction consisted of a free rib graft and a pectoralis major myocutaneous flap. One rib graft failed and one graft, although successful, required removal during a wider resection for tumour recurrence. A further three patients have died since operation, two from tumour recurrence and one from unrelated medical causes. Six patients have undergone long-term follow-up of between 22 and 78 months with a mean of 51 months. They have oral continence, take a normal or semisolid diet, and have satisfactory cosmesis. We present the first long-term follow-up of a series of patients undergoing mandibular reconstruction with a free rib graft and pectoralis major myocutaneous flap.
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