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Mandibular reconstruction using the titanium functionally dynamic bridging plate system: A retrospective study of 34
Raphael Lopez1, Céline Dekeister, Ziad Sleiman
1Department of Oral and Maxillofacial Surgery, Hospital Purpan, Toulouse, France.
Summary
The Titanium Functionally Dynamic Bridging Plate System offers a safe and effective method for mandibular reconstruction after cancer surgery. This system demonstrates satisfying aesthetic and functional outcomes, with good long-term tolerance in patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncologic Reconstruction
- Biomaterials in Medicine
Background:
- Mandibular defects following oncologic resection pose significant reconstruction challenges.
- Titanium implants are commonly used in reconstructive surgery due to their biocompatibility and mechanical properties.
Purpose of the Study:
- To evaluate the efficacy and outcomes of the Titanium Functionally Dynamic Bridging Plate System for mandibular reconstruction.
- To assess the tolerance, aesthetic, and functional results of this specific reconstruction system.
Main Methods:
- Retrospective analysis of 34 patients undergoing mandibular reconstruction.
- Evaluation of indications, postoperative outcomes, and long-term tolerance.
- Assessment of aesthetic and functional results at 1-4 year follow-up.
Main Results:
- 53% of patients retained the plate at follow-up (1-4 years).
- Low complication rate: 1 plate fracture and 1 plate exposure requiring intervention.
- Satisfying aesthetic (79% good/acceptable) and functional outcomes were reported.
Conclusions:
- The Titanium Functionally Dynamic Bridging Plate System is a safe and rapid solution for mandibular reconstruction, especially in patients with poor prognosis.
- This system allows for potential secondary reconstructive procedures.
- The system demonstrates good long-term tolerance and satisfactory functional and aesthetic results.