Induced Membranes for Segmental Mandibular Reconstruction: Case Series and Technique Review.
| Autor: | Waligora B; Former Resident, Oral and Maxillofacial Surgery, Medical College of Wisconsin, Milwaukee, WI., Neilson JC; Assistant Professor, Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, WI., Brookes C; Private Practitioner, Adjunct Assistant Professor, Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI. Electronic address: carolyn@wisnova.com. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [J Oral Maxillofac Surg] 2021 Aug; Vol. 79 (8), pp. 1751-1759. Date of Electronic Publication: 2021 Feb 24. |
| DOI: | 10.1016/j.joms.2021.02.024 |
| Abstrakt: | Purpose: This article describes the induced membrane technique (IMT) and presents 10 cases in which the technique was applied for segmental mandibular reconstruction. Methods: Ten patients requiring segmental mandibular resection were reconstructed using the staged IMT. Mandibular resection, placement of a reconstruction plate and polymethylmethacrylate spacer, was performed. At the second procedure, the spacer was removed through a small incision and particulate autograft from the ilium was placed, in some cases with bone morphogenic protein. Results: Nine of the 10 patients achieved bony continuity with the IMT. Spacers were designed to optimize mandibular form and future implant-based restoration. All patients have either had implants placed or have adequate bone for implant placement. The average hospital length of stay for both surgeries combined was 3.1 nights. Conclusions: The IMT can be successfully used to reconstruct segmental mandibular defects, allowing surgeons to create a neomandible with optimal form both for facial contour and for dental implant-based reconstruction. (Copyright © 2021 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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