OBJECTIVE To describe the use of radial forearm osteocutaneous free flap in complex mandibular reconstruction. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Combined Military Hospital, Rawalpindi, from January 1998 to January 2008. METHODOLOGY Patients having a small bony component and a large soft tissue mandibular defect requiring reconstruction were selected. These defects in...

The treatment of mandibular fractures has been in a constant state of evolution over the past few decades. The most significant advancements related to the management of fractures of the man‐ dible are based on specific technical refinements in the methods of internal fixation. Also there is improvement in the knowledge of anatomy, pathophysiology, pharmacology and biomaterial science which inf...

BACKGROUND Monocortical miniplate fixation is an accepted and reliable method for internal fixation of mandibular angle fractures. Although placement of a second miniplate may theoretically provide more stability; however, the clinical importance of this issue remains controversial. OBJECTIVES The present study assessed the postoperative complications and outcomes associated with the fixation...

PURPOSE To determine whether or not an extended regimen of prophylactic antibiotics following either open or closed reduction of mandibular fractures is beneficial in lowering the rate of infection in postoperative patients. PATIENTS AND METHODS This study is a retrospective chart review of 150 patients treated operatively for both complicated and uncomplicated mandibular fractures at Univers...

pyknodysostosis is a rare bone disease that has autosomal dominant trait. it is characterized by short stature, diffuse osteosclerosis, acro-osteolysis, finger, and nail abnormalities. other features include open fontanelles and sutures, relative proptosis and obtuse mandibular gonial angle with relative mandibular prognathism. intraoral features such as dental abnormalities also have been repo...

Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth. Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars...

OBJECTIVE We describe the clinical results of mandibular augmentation with coronoid process bone grafts for dental implant insertion. STUDY DESIGN Fifteen patients with vertical and transverse defects of the posterior alveolar process of the mandible were treated. All patients underwent mandibular rehabilitation with autogenous coronoid process bone grafts via minimal-access surgery. After 6 ...

econstruction of the mandible presents unique challenges to the head and neck surgeon. Although mandibular defects can result from trauma, infection, congenital deformities, or osteonecrosis, it most commonly occurs following ablative surgery for the treatment of benign or malignant neoplasms. Primary intrabony mandibular carcinoma is rare; therefore, the involvement of the lower jaw is usually...

Spontaneous bone regeneration is an unexpected phenomenon that may take place in large mandibular defects secondary to trauma and tumor resection. One explanation for this unusual healing course is that it may be derived from the mechanism of fracture healing. A review of the literature presents several factors that may influence this process, such as the presence of periosteum and bony fragmen...

There are some difficulties in approaching and removing the lesion in infratemporal fossa because of its anatomical location. After wide excision of tumor lesion, it is also difficult for reconstruction of mandibular condyle and cranium base on infratemporal fossa. Besides, there are some possibilities of cerebrospinal fluid leakage, intracranial infection and bone resorption. It is also challe...