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Mandibular augmentation.

M J Yaremchuk1

  • 1Division of Plastic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston 02114, USA. myaremchuk@partners.com

Plastic and Reconstructive Surgery
|September 15, 2000
PubMed
Summary
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Porous polyethylene implants can augment the mandibular ramus and body to enhance lower facial width. This safe and effective technique improves facial aesthetics in patients with normal anatomy or mandibular deficiency.

Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Biomaterials

Background:

  • Porous polyethylene implants offer solutions for facial augmentation.
  • Mandibular augmentation can address aesthetic concerns and skeletal deficiencies.

Purpose of the Study:

  • To evaluate the safety and effectiveness of porous polyethylene implants for mandibular augmentation.
  • To assess the use of these implants in increasing bigonial distance and camouflaging class II mandibular deficiency.

Main Methods:

  • Surgical placement of porous polyethylene implants in the mandibular ramus and body via intraoral incisions.
  • Fixation of implants using titanium screws.
  • Clinical evaluation of 11 patients over a 6-year period.

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Main Results:

  • The technique demonstrated safety and effectiveness in the studied patient cohort.
  • Successful augmentation of mandibular dimensions and improved facial aesthetics were observed.

Conclusions:

  • Porous polyethylene implants are a viable option for mandibular augmentation.
  • The described surgical technique is safe and effective for enhancing lower facial width and correcting specific skeletal contour inadequacies.