Evaluation of Mandibular Reconstruction With Particulate Cancellous Bone Marrow and Titanium Mesh After Mandibular Resection Due to Tumor Surgery

被引：11
|
作者：
Miyamoto, Ikuya [1 ]
Yamashita, Yoshihiro [2 ]
Yamamoto, Noriaki [3 ]
Nogami, Shinnosuke [4 ]
Yamauchi, Kensuke [5 ]
Yoshiga, Daigo [4 ]
Kaneuji, Takeshi [4 ]
Takahashi, Tetsu [6 ]
机构：
[1] Kyushu Dent Univ, Div Oral Med, Fukuoka, Japan
[2] Miyazaki Univ, Dept Oral & Maxillofacial Surg, Miyazaki, Japan
[3] Oita Univ, Dept Oral & Maxillofacial Surg, Oita 87011, Japan
[4] Kyushu Dent Univ, Div Oral & Maxillofacial Surg, Fukuoka, Japan
[5] Tohoku Univ, Grad Sch Dent, Dept Oral Med & Surg, Div Oral & Maxillofacial Surg, Sendai, Miyagi 980, Japan
[6] Tohoku Univ, Grad Sch Dent, Dept Oral Med & Surg, Div Oral & Maxillofacial Surg, Sendai, Miyagi 980, Japan
来源：
IMPLANT DENTISTRY | 2014年 / 23卷 / 02期
关键词：
segmental defect; mandibular reconstruction; PCBM combined with titanium mesh; top-down approach; FIBULA FREE-FLAP; ORAL-CANCER; DISTRACTION OSTEOGENESIS; SURGICAL SIMULATION; GRAFTS; IMPLANTS; DEFECTS; REHABILITATION; SURVIVAL;
D O I：
10.1097/ID.0000000000000041
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
There are numerous treatment modalities for mandibular defects after tumor surgery. Autogenous particulate cancellous bone marrow graft combined with titanium mesh (PCBM-MESH) is an alternative procedure. The purpose of this study was to evaluate PCBM-MESH for mandibular reconstruction. There were a total of 10 cases from 2000 to 2011. Mandibles were successfully reconstructed in 9 cases; however, reconstruction failed in 1 case. Overall, the recovery of facial contours was excellent; conversely, the evaluation of prosthetic treatment varied widely. Thus, we suggest 3 steps for mandibular reconstruction: (1) recover the continuity of bone segments; (2) simulate optimum facial contours and dental occlusion; and (3) perform the occlusion with dental prostheses. PCBM-MESH is a valuable method for mandibular defectsparticularly for restoring facial contours and a favorable alveolar ridge.
引用
收藏
页码：108 / 115
页数：8
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