BACKGROUND AND AIM The mandible is frequently affected by tumor masses present in the oral cavity and is included in the tumor ablation procedure, with major functional and esthetic consequences for the patient. A method of high current interest in mandibular reconstruction is based on the use of free vascularized iliac crest grafts, followed by reconstruction using dental implants. METHODS T...

PURPOSE The reconstruction of mandibular defects poses many difficulties due to the unique, complex shape of the mandible and the temporomandibular joints. With development of microvascular anastomosis, free tissue transplantation techniques, such as deep circumflex iliac artery (DCIA) flap and fibular free flap (FFF), were developed. The DCIA offers good quality and quantity of bone tissue for...

AIM The study was aimed at esthetic and functional results as well as patient tolerance after reconstruction with reconstruction plate. The follow-up ranged from 1 to 4 years. MATERIALS AND METHODS A retrospective study of 36 patients who had mandibular reconstruction with AO/ASIF stainless steel reconstruction plates after oncologic resection was evaluated. The indications and postoperative ...

PATIENT A 70-year-old patient with reconstructed mandibulectomy presented to our clinic with a complaint of denture instability. Due to left mandibular gingival cancer, she had received segmental resection of the left mandible and reconstruction with the fibula. An intraoral examination revealed few intermaxillary occlusal contacts due to the deviation of the mandibular dental arch. A mandibula...

The gold standard for mandibular reconstruction is universally recognised and consists of the replacement of the bony part of the mandible with a bony microvascular free flap supported by a reconstructive plate. Although this procedure is feasible and reproducible in most patients, at times poor oncological prognosis or poor performance status force surgeons to consider other reconstructive sol...

This report describes mandibular reconstruction using a 2-step bone transport technique in a cancer patient with type 2 diabetes mellitus (DM) who received radiotherapy before ablative surgery. The bone, measuring 90 mm in length with the mandibular curvature and good alveolar form, was regenerated using a plate-guided method. Three implants were placed 21 months after completion of the first d...

OBJECTIVE To describe a surgical technique using a regenerative approach and internal fixation for immediate reconstruction of critical size bone defects after segmental mandibulectomy in dogs. STUDY DESIGN Prospective case series. ANIMALS Dogs (n = 4) that had reconstruction after segmental mandibulectomy for treatment of malignant or benign tumors. METHODS Using a combination of extraor...

Figure 1. Preoperative photograph of mandibu-lar osteosarcoma. DESCRIPTION A 22-year-old female presented with an acquired mandibular defect status post radical resection of mandibular osteosarcoma. Patient subsequently underwent fibular osteocuta-neous free flap reconstruction.