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      Mandibular Reconstruction with Free Fibula Flap for Medication-Related Osteonecrosis of the Jaw in Patients with Multiple Myeloma: Erratum

      Plastic and Reconstructive Surgery Global Open

      Lippincott Williams & Wilkins

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          Abstract

          The authors of the October 2020 article, titled “Mandibular Reconstruction with Free Fibula Flap for Medication-Related Osteonecrosis of the Jaw in Patients with Multiple Myeloma.” (Plast Reconstr Surg Glob Open 2020 Oct 28;8(10):e3186.) wish to make the following correction. Affiliation of the 2nd author: Jason W Yu, DMD MD to the following: “Pending appointment in Section of Oral & Maxillofacial Surgery, School of Dentistry, University of California, Los Angeles, Los Angeles, CA.”

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          Mandibular Reconstruction with Free Fibula Flap for Medication-related Osteonecrosis of the Jaw in Patients with Multiple Myeloma

          Summary: While bisphosphonates are the cornerstone for management of multiple myeloma, they are associated with medication-related osteonecrosis of the jaw (MRONJ). There are many controversies in the management of MRONJ in this patient population. In this article, we describe a representative case and, along with a literature review, we report the outcomes of our 3 cases with multiple myeloma who underwent mandible reconstruction with vascularized fibula bone grafts after segmental mandible resection for Stage 3 MRONJ over a 3-year period. All patients were male with a mean age of 59 years. All patients had undergone therapy with bisphosphonates and had no other identifiable cause of mandible osteonecrosis. All patients had pathologic mandible fractures associated with intraoral fistulae and exposed bone. Nonsurgical management was attempted in all patients. One patient also underwent debridement of the mandible without resolution of the disease. Mandible reconstruction with an osteocutaneous free fibula flap after segmental mandible resection was performed in all 3 cases without major complications or donor site morbidity. Different bacteria were isolated from the intraoperative tissue cultures in all cases. Computed tomographic imaging revealed bony union without hardware complications in all cases. Mean follow-up was 28 months. In conclusion, we demonstrated that patients with multiple myeloma and advanced MRONJ lesions of the mandible can be managed successfully and safely by segmental resection and reconstruction with vascularized fibula bone graft.
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            Author and article information

            Journal
            Plast Reconstr Surg Glob Open
            Plast Reconstr Surg Glob Open
            GOX
            Plastic and Reconstructive Surgery Global Open
            Lippincott Williams & Wilkins (Hagerstown, MD )
            2169-7574
            12 January 2021
            January 2021
            12 January 2021
            : 9
            : 1
            Article
            00058
            10.1097/GOX.0000000000003410
            7861889
            Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

            This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

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            UNITED STATES

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