Mandibular Reconstruction with Bridging Customized Plate after Ablative Surgery for ONJ: A Multi-Centric Case Series

Purpose: Computer-aided methods for mandibular reconstruction have improved both functional and morphological results in patients who underwent segmental resection. The purpose of this study is to evaluate the overlaying virtual planning terms measures Computer Assisted Design/Computer Manufacturing CAD/CAM plate are ineligible insertion reconstructing titanium supported by fibular free flap, due their poor health status, or presence specific contraindications autologous bone flap harvest. Materials methods: retrospective performed analyzed nine patients. were treated at Maxillofacial Surgery Unit Policlinico S. Orsola Bologna, Italy, San Marco, Catania, from April 2016 June 2021. Superimposition between post operative Computed Tomography CT scan was assess accuracy. Results: All reconstructive procedures carried out successfully. No microsurgery-related complications occurred. In two cases, we had misplacement, one case, exposure that led removal. average accuracy series assessed after superimposition, as previously described, 0.95 mm. Conclusions: Considering microvascular transfer a high-risk procedure BRONJ patients, can conclude positioning customized bridging prosthesis (CBMP), whether not it associated with soft tissue transfer, safe technique surgical outcome feasibility.