The gold standard in modern surgical treatment of patients with severe maxillo-mandibular atrophy must include the aim to achieve restoration of function and aesthetics with immediate reconstruction of the oro-mandibular defects. The medical records of 14 patients who were treated in a 5-year period (2010-2014) at our department with severe maxillary and mandibular atrophy, and reconstructed by...

The odontogenic myxoma is a rare entity located in mandible and upper maxilla. Due to its local aggressiveness, wide surgical excision is mandatory. Several surgical techniques have been described for the reconstruction of segmental mandibular defects. In comparison with other free flaps, the vascularized free fibular flap (VFFF) supports the longest amount of bone and, due to the nature of the...

Changes or disruptions in the process of mandibular development can happen in the early stages of formation, and the malformations may be isolated or part of a syndrome. Hypoplasia or aplasia of the mandibular condyles indicates underdevelopment or non-development and is associated with multiple craniofacial abnormalities. Patients who experience these congenital deformities may benefit from re...

OBJECTIVE This paper describes a case of secondary mandibular bone reconstruction performed to place dental implants. Osteosynthesis and simultaneous irregular trifocal distraction osteogenesis were documented. PATIENT The patient was a 51-year-old man with recurrent ameloblastoma of the mandible. Segmental mandibulectomy for tumor ablation and immediate mandibular reconstruction were perform...

BACKGROUND In a segmental mandibular reconstruction with a free vascularized flap, reproducing the optimal relationship between the condyle and glenoid fossa, and maintaining correct occlusion are important. We examined the practicality of a repositioning technique that combined bone plate fixation of the infrazygomatic crest and the coronoid process (infrazygomatico-coronoid fixation [IZCF]) w...

Ameloblatoma is a benign odontogenic tumor of epithelial origin, with specific clinical features as cortical expansion, painless, associated with tooth displacement and root resorption. Ameloblastoma treatment is controversial. There are conservative and aggressive treatment options, ranging from a simple enucleation associated or not with curettage to a complete mandibular resection with secur...

1 Takashi Nuri, MD, PhD Koichi Ueda, MD, PhD Masashi Okada, MD, PhD Yuki Otsuki, MD Hiroyuki Iwanaga, MD Department of Plastic and Reconstructive Surgery Osaka Medical College Takatsuki, Osaka, Japan Sir, A lthough the osteocutaneous free flap is the best choice for mandibular reconstruction, it cannot be chosen sometimes because of the patient’s condition. Then, a metal reconstruction plate is...