Short ramus reconstruction for hemi-mandibulectomy defect: Case reports

Abstract

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.

Keywords

• Mandible
• Mouth neoplasm
• Reconstructive surgical procedures
• Condyle