Evaluation of Mandibular Reconstruction With Particulate Cancellous Bone Marrow and Titanium Mesh After Mandibular Resection Due to Tumor Surgery

Autor: Yoshihiro Yamashita, Tetsu Takahashi, Kensuke Yamauchi, Noriaki Yamamoto, Shinnosuke Nogami, Takeshi Kaneuji, Ikuya Miyamoto, Daigo Yoshiga
Rok vydání: 2014
Předmět:
Zdroj: Implant Dentistry. 23:108-115
ISSN: 1056-6163
DOI: 10.1097/id.0000000000000041
Popis: There are numerous treatment modalities for mandibular defects after tumor surgery. Autogenous particulate cancellous bone marrow graft combined with titanium mesh (PCBM-MESH) is an alternative procedure. The purpose of this study was to evaluate PCBM-MESH for mandibular reconstruction. There were a total of 10 cases from 2000 to 2011. Mandibles were successfully reconstructed in 9 cases; however, reconstruction failed in 1 case. Overall, the recovery of facial contours was excellent; conversely, the evaluation of prosthetic treatment varied widely. Thus, we suggest 3 steps for mandibular reconstruction: (1) recover the continuity of bone segments; (2) simulate optimum facial contours and dental occlusion; and (3) perform the occlusion with dental prostheses. PCBM-MESH is a valuable method for mandibular defects-particularly for restoring facial contours and a favorable alveolar ridge.
Databáze: OpenAIRE