Reconstruction of segmental mandibular defects: Current procedures and perspectives

Background The reconstruction of segmental mandibular defects remains a challenge for the reconstructive surgeon, from both a functional and an esthetic point of view. Methods This clinical review examines the different techniques currently in use for mandibular reconstruction as related to a range...

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Bibliographic Details
Published in:Laryngoscope investigative otolaryngology 2019-12, Vol.4 (6), p.587-596
Main Authors: Paré, Arnaud, Bossard, Adeline, Laure, Boris, Weiss, Pierre, Gauthier, Olivier, Corre, Pierre
Format: Article
Language:English
Subjects:
bone tissue engineering
CAD/CAM
Classification
Defects
Disease
Facial Plastics and Reconstructive Surgery
free flap
Human health and pathology
Life Sciences
mandible reconstruction
Mechanical properties
Medical prognosis
microvascular
Morbidity
Pain
Rhumatology and musculoskeletal system
Skin & tissue grafts
Success
Surgeons
Surgery
Tissue engineering
Trauma
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Summary:Background The reconstruction of segmental mandibular defects remains a challenge for the reconstructive surgeon, from both a functional and an esthetic point of view. Methods This clinical review examines the different techniques currently in use for mandibular reconstruction as related to a range of etiologies, including the different bone donor sites, the alternatives to free flaps (FFs), as well as the contribution of computer‐assisted surgery. Recent progress and the perspectives in bone tissue engineering (BTE) are also discussed. Results Osseous FF allows reliable and satisfying outcomes. However, locoregional flap, distraction osteogenesis, or even induced membrane techniques are other potential options in less favorable cases. Obtaining an engineered bone with satisfactory mechanical properties and sufficient vascular supply requires further investigations. Conclusions Osseous FF procedure remains the gold standard for segmental mandible reconstruction. BTE strategies offer promising alternatives.
ISSN:2378-8038
2378-8038
DOI:10.1002/lio2.325