Affiliation:
1. Department of Plastic and Reconstructive Surgery National Cancer Center Hospital East Kashiwa Japan
2. Department of Plastic, Reconstructive and Aesthetic Surgery, Graduate School of Medicine The University of Tokyo Hongo Japan
3. Department of Plastic Surgery Naruto Hospital Naruto Japan
4. Department of Head and Neck Surgery National Cancer Center Hospital East Kashiwa Japan
Abstract
AbstractBackgroundAlthough vascularized bone graft (VBG) transfer is the current standard for mandibular reconstruction, reconstruction with a mandibular reconstruction plate (MRP) and with a soft‐tissue flap (STF) alone remain crucial options for patients with poor general conditions. However, objective aesthetic outcome evaluations for these methods are limited.MethodsIn a retrospective analysis of 65 patients (VBG, 33; MRP, 19; and STF, 13), mandibular asymmetry value was calculated for each patient's photograph using facial recognition AI, with a higher value indicating worse asymmetry.ResultsThe MRP group had a value comparable to the VBG group regardless of mandibular defect types. The STF group had a significantly higher value than the VBG group.ConclusionsRegarding cosmesis, STF was inferior to VBG, whereas MRP was comparable to VBG, even for anterior defects for which rigid reconstruction is mandatory. However, MRP's risks of plate‐related complications limit its use to cases where VBG is contraindicated or with poor prognosis.Level of Evidence4.