Short ramus reconstruction for hemi-mandibulectomy defect: Case reports
Eiji Hirai,
Shunji Sarukawa,
Jinsil Park,
Seiko Fujii,
Takeshi Nishikawa,
Kozo Yamamoto
Affiliations
Eiji Hirai
Department of Oral and Maxillofacial Surgery, Oita Red Cross Hospital, Japan; Corresponding author at: Oral and Maxillofacial Surgery, Oita Red Cross Hospital, Chiyomachi 3-2-37, Oita-city, Oita 870-0033, Japan.
Shunji Sarukawa
Department of Plastic Surgery, Saitama Medical University, International medical center, Japan
Jinsil Park
Department of Oral and Maxillofacial Surgery, Oita Red Cross Hospital, Japan
Seiko Fujii
Department of Oral and Maxillofacial Surgery, Shin-Yurigaoka General Hospital, Japan
Takeshi Nishikawa
Department of Oral and Maxillofacial Surgery, Oita Red Cross Hospital, Japan
Kozo Yamamoto
Department of Oral and Maxillofacial Surgery, Oita Red Cross Hospital, Japan
Summary: Reconstruction of the mandible following hemimandibulectomy is difficult and complex.The appropriate approach to condylar reconstruction remains controversial. In this report, the authors propose the concept of “short ramus reconstruction” after hemimandibulectomy. In this technique, a neocondyle is constructed around the base of the condyle to avoid trismus and ankylosis. Four patients underwent short condylar reconstruction using fibula free flaps. Post-surgery, no patient developed trismus or ankylosis. Centric occlusion, good masticatory function, and favourable aesthetic outcomes were achieved in all cases. “Short ramus reconstruction” is a simple and convenient method to reconstruct the mandible following hemimandibulectomy.
