Mandibular reconstruction using custom-made titanium mesh tray and particulate cancellous bone and marrow harvested from bilateral posterior ilia
| Autor: | Yoshiki Hamada, Hiroyuki Yamada, Takumi Ogawa, Yuko Shigeta, Mitsuyoshi Iino, Kenichi Kumagai, Toshikatsu Horiuchi, Kazutoshi Nakaoka, Eisaku Imamura, Tomoko Ikawa |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Adolescent Visual analogue scale Dentistry Biocompatible Materials Mandible Ilium Young Adult Imaging Three-Dimensional Patient satisfaction Computer software medicine Humans Mandibular reconstruction Child Aged Bone Marrow Transplantation Aged 80 and over Titanium Bone Transplantation Gingival Neoplasms business.industry Middle Aged Surgical Mesh Mandibular Neoplasms Skull medicine.anatomical_structure Tray Surgery Computer-Assisted Printing Three-Dimensional Female Surgery Mandibular Reconstruction business Cancellous bone |
| Zdroj: | Journal of Plastic Surgery and Hand Surgery. 48:183-190 |
| ISSN: | 2000-6764 2000-656X |
| DOI: | 10.3109/2000656x.2013.848809 |
| Popis: | The objective of this study is to evaluate usefulness of mandibular reconstructions using a custom-made titanium mesh (Ti-mesh) tray and particulate cancellous bone and marrow (PCBM). A consecutive nine patients who underwent mandibular reconstruction were enrolled in this study. They were five men and four women (mean age: 53.9 years). Virtual reality simulation was performed using computer software based on the pre-operative computed tomography data. A 3-dimensional (3-D) skull model was constructed using a 3-D printer. A tray was custom-made from a Ti-mesh sheet bent to adapt to the model. After PCBM harvesting from bilateral posterior ilia, the tray was fixed to the host bone. New bone formation and configuration of the reconstructed mandible were assessed radiologically. Complications were recorded in each patient during the follow-up period. Patients, satisfaction with post-operative facial contour was evaluated using a visual analogue scale (VAS score, range = 0-100). In six of nine patients, excellent new bone formation was recognised and expected results were radiologically achieved. Complications occurred in four patients. These complications included Ti-mesh fracture, Ti-mesh exposure in the oral cavity, and delayed infection. Mean VAS score on patient satisfaction was 77.6. Although the data are preliminary, the results suggest that this method is clinically useful. |
| Databáze: | OpenAIRE |
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