Reconstruction after hemimandibulectomy by a titanium mesh and particulate cancellous bone and marrow harvested from posterior ilia: a case report
A particulate cancellous bone and marrow (PCBM) graft combined with titanium (Ti-) mesh tray has become one of the most popular mandibular reconstruction methods. The technique has been applied to the mandibular discontinuity defects after segmental mandibulectomy. To the best of our knowledge, ther...
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| Veröffentlicht in: | The Journal of oral implantology 2021-12 |
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| creator | Ishikawa, Shigeo Yusa, Kazyuki Edamatsu, Kaoru Ueda, Shohei Sugano, Ayako Iino, Mitsuyoshi |
| description | A particulate cancellous bone and marrow (PCBM) graft combined with titanium (Ti-) mesh tray has become one of the most popular mandibular reconstruction methods. The technique has been applied to the mandibular discontinuity defects after segmental mandibulectomy. To the best of our knowledge, there are no reports on using the technique after hemimandibulectomy, during which a wide mandibular resection, including the condyle, is performed. Here we report firstly a case of mandibular reconstruction after hemimandibulectomy, using a plate and soft-tissue free flap, followed by a Ti-mesh and PCBM harvested from the bilateral posterior ilia, which was successful. This case report first revealed how bone resorption occurred clinically in mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. We also revealed the high predictability of the mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. Our report also provides a guiding principle to overcome the limitation of mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. However, our manuscript has limited evidence being a case report. |
| doi_str_mv | 10.1563/aaid-joi-D-21-00001 |
| format | Article |
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The technique has been applied to the mandibular discontinuity defects after segmental mandibulectomy. To the best of our knowledge, there are no reports on using the technique after hemimandibulectomy, during which a wide mandibular resection, including the condyle, is performed. Here we report firstly a case of mandibular reconstruction after hemimandibulectomy, using a plate and soft-tissue free flap, followed by a Ti-mesh and PCBM harvested from the bilateral posterior ilia, which was successful. This case report first revealed how bone resorption occurred clinically in mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. We also revealed the high predictability of the mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. Our report also provides a guiding principle to overcome the limitation of mandibular reconstruction using PCBM and Ti-mesh tray after hemimandibulectomy. 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However, our manuscript has limited evidence being a case report.</description><subject>Bone marrow</subject><subject>Bone resorption</subject><subject>Cancellous bone</subject><subject>Case reports</subject><subject>Dental implants</subject><subject>Dentistry</subject><subject>Mandible</subject><subject>Prostheses</subject><subject>Reconstructive surgery</subject><subject>Rehabilitation</subject><subject>Skin & tissue grafts</subject><subject>Titanium</subject><issn>0160-6972</issn><issn>1548-1336</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNo1kN1KxDAQhYMo7vrzBIIEvI5mmibdeifrLwiC7P0yTadslrapaarsa_jEBl3nZgbmmzOHw9gFyGvQRt0gulpsvRP3IgMhU8EBm4POFwKUModsLsFIYcoim7GTcdxKmWmt4ZjNVF7qQoOes-93sr4fY5hsdL7n2EQKfEOd67CvXTW1ZKPvdrzaceTRRezd1PGOxg1PAB8wRGenFiNxi72ltvXTyCvf0---wxD8F99g-KQxUs2b4Ds--DQH5wN3rcPbpGxxJB5o8CGesaMG25HO9_2UrR4fVstn8fr29LK8exVDci4asBbKRdmAhhwWWKncNFDUVuaqsJkBUxAURIVpbJVlmnKDBYLNSRNIJdUpu_qTHYL_mJK59dZPoU8f1-k6l6bMtErU5Z6aqo7q9RBSMGG3_k9Q_QCeIndQ</recordid><startdate>20211226</startdate><enddate>20211226</enddate><creator>Ishikawa, Shigeo</creator><creator>Yusa, Kazyuki</creator><creator>Edamatsu, Kaoru</creator><creator>Ueda, Shohei</creator><creator>Sugano, Ayako</creator><creator>Iino, Mitsuyoshi</creator><general>Allen Press Inc</general><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20211226</creationdate><title>Reconstruction after hemimandibulectomy by a titanium mesh and particulate cancellous bone and marrow harvested from posterior ilia: a case report</title><author>Ishikawa, Shigeo ; 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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection; Allen Press Miscellaneous |
| subjects | Bone marrow Bone resorption Cancellous bone Case reports Dental implants Dentistry Mandible Prostheses Reconstructive surgery Rehabilitation Skin & tissue grafts Titanium |
| title | Reconstruction after hemimandibulectomy by a titanium mesh and particulate cancellous bone and marrow harvested from posterior ilia: a case report |
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