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May 6, 2026Journal of Clinical MedicineOpen Access

Anterolateral Thigh Flap and Bone Plate for Mandibular Reconstruction in Patients over 55 Undergoing Ablative Oral Surgery: A Systematic Review and Meta-Analysis

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Authors

RNRiccardo NociniGPGiacomo PapiGGGiulia Gobbo

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Overview

Systematic review shows high success rates in mandibular reconstruction for elderly patients, indicating a viable alternative to traditional methods.

Key Points

  • This systematic review evaluates the effectiveness of anterolateral thigh flap and bone plate in mandibular reconstruction.
  • Included studies with patients over 55 undergoing mandibular reconstruction with ALT flap and plate.
  • Excluded studies without relevant outcomes or mean age under 55.
  • Conducted a proportional meta-analysis to estimate clinical success and complication rates.
  • Overall clinical success rate of the ALT flap procedure was 97%.
  • Flap-related complications were rare, with only one flap loss reported.
  • Plate-related complications occurred in 28% of cases, with infection rates from 20% to 38.7%.

Cite This Study

Nocini et al. (2026) studied this question.

synapsesocial.com/papers/69faa2b504f884e66b53339bhttps://doi.org/10.3390/jcm15093457
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Osseous free flap vs. Bridging plate mandibular reconstruction: a retrospective cohort study on perioperative complications of 335 patients2026
  2. 2Mandibular Reconstruction Reimagined: Are Osseous Flaps Truly Superior to Alloplastic Reconstructions?2025
  3. 3Surgical Management of Advanced Mandibular Osteonecrosis Utilizing a Contemporary Mandibular Reconstruction Plate in Patients Unsuitable for Free Flap Reconstruction—Preliminary Study and Case Series2026
  4. 4Outcomes of the pectoralis major muscle flap for covering a mandibular reconstruction plate: Our experience at the Leiden University Medical Center2026
  5. 5<scp>ALT</scp> Rescue Flap With Iliac Crest Bone Graft and Spanning Plate for Mandibular <scp>ORN</scp>2026 · 1 citations