OBJECTIVES: Reconstruction of large mandiblular defects following ablative oncologic surgery could be done by using vascularized bone transfer or, more often, primarily with simultaneous or delayed bone grafting, using load bearing reconstruction plates. Bending of these reconstruction plates is typically directed along the outer contour of the original mandible. Simultaneously or in a second operation vascularized or non-vascularized bone is fixed to the reconstruction plate. However, the prosthodontic-driven backward planning to ease bony reconstruction of the mandible in terms of dental rehabilitation using implant-retained overdentures might be an eligible solution. The purpose of this work was to develop, establish and clinically evaluate a novel 3D planning procedure for mandibular reconstruction. MATERIALS AND METHODS: Three patients with tumors involving the mandible, which included squamous cell carcinoma in the floor of the mouth and keratocystic odontogenic tumor, were treated surgically by hemimandibulectomy. RESULTS: In primary alloplastic mandible reconstruction, shape and size of the reconstruction plate could be predefined and prebent prior to surgery. CLINICAL RELEVANCE: This study provides modern treatment strategies for mandibular reconstruction.
OBJECTIVES: Reconstruction of large mandiblular defects following ablative oncologic surgery could be done by using vascularized bone transfer or, more often, primarily with simultaneous or delayed bone grafting, using load bearing reconstruction plates. Bending of these reconstruction plates is typically directed along the outer contour of the original mandible. Simultaneously or in a second operation vascularized or non-vascularized bone is fixed to the reconstruction plate. However, the prosthodontic-driven backward planning to ease bony reconstruction of the mandible in terms of dental rehabilitation using implant-retained overdentures might be an eligible solution. The purpose of this work was to develop, establish and clinically evaluate a novel 3D planning procedure for mandibular reconstruction. MATERIALS AND METHODS: Three patients with tumors involving the mandible, which included squamous cell carcinoma in the floor of the mouth and keratocystic odontogenic tumor, were treated surgically by hemimandibulectomy. RESULTS: In primary alloplastic mandible reconstruction, shape and size of the reconstruction plate could be predefined and prebent prior to surgery. CLINICAL RELEVANCE: This study provides modern treatment strategies for mandibular reconstruction.
Authors: Kurt Schicho; Michael Figl; Rudolf Seemann; Rolf Ewers; J Thomas Lambrecht; Arne Wagner; Franz Watzinger; Arnulf Baumann; Franz Kainberger; Julia Fruehwald; Clemens Klug Journal: Med Phys Date: 2006-09 Impact factor: 4.071
Authors: P J Schoen; G M Raghoebar; J Bouma; H Reintsema; F R Burlage; J L N Roodenburg; A Vissink Journal: Int J Oral Maxillofac Surg Date: 2007-09-04 Impact factor: 2.789
Authors: Frank Wilde; Henning Hanken; Florian Probst; Alexander Schramm; Max Heiland; Carl-Peter Cornelius Journal: Int J Comput Assist Radiol Surg Date: 2015-04-07 Impact factor: 2.924
Authors: Nikola Vitković; Jelena Mitić; Miodrag Manić; Miroslav Trajanović; Karim Husain; Slađana Petrović; Stojanka Arsić Journal: Comput Math Methods Med Date: 2015-05-06 Impact factor: 2.238
Authors: A N Zeller; M T Neuhaus; L V M Weissbach; M Rana; A Dhawan; F M Eckstein; N C Gellrich; R M Zimmerer Journal: J Maxillofac Oral Surg Date: 2020-01-03