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Related Experiment Video

Updated: May 13, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible

Published on: January 28, 2020

An alternative approach for mandible reconstruction.

Xiu Feng Bai1, Alimujiang Wushou, Jun Zheng

  • 1Department of Oral and Maxillofacial-Head and Neck Surgical Oncology, College and Hospital of Stomatology, Xi'an Jiao Tong University, Xi'an, China.

The Journal of Craniofacial Surgery
|March 26, 2013
PubMed
Summary

This study presents a novel method for reconstructing mandibular defects using a prefabricated titanium mesh with iliac cancellous bone. This technique offers a viable alternative when vascularized bone grafting is not feasible, ensuring good functional and esthetic outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery
  • Biomaterials Engineering

Background:

  • Free vascularized bone grafts are standard for mandibular reconstruction.
  • The fibula flap is a popular choice, but patient refusal or contraindications exist.
  • Alternative methods are needed for extensive mandibular defects when fibular flaps are unsuitable.

Purpose of the Study:

  • To evaluate the efficacy of computer-aided design and manufacturing (CAD/CAM) prefabricated titanium mesh combined with autogenous iliac cancellous bone graft for mandibular reconstruction.
  • To assess this technique as an alternative to vascularized bone grafting.

Main Methods:

  • Seven patients with extensive mandibular defects underwent reconstruction.
  • A CAD/CAM prefabricated titanium mesh was used, combined with autogenous iliac cancellous bone graft.

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Last Updated: May 13, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
10:42

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Published on: January 28, 2020

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3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects

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  • In some cases, boiled non-tumorous mandible bone was also incorporated.

    • Main Results:

    • All seven patients achieved primary wound healing without complications.
    • No reconstructive complications were observed during the follow-up period.
    • Patients reported high satisfaction with both esthetic and functional results.

    Conclusions:

    • The CAD/CAM prefabricated titanium mesh with iliac cancellous bone graft is a feasible and effective alternative for mandibular reconstruction.
    • This method is particularly valuable when vascularized bone grafting is not an option.
    • The technique provides satisfactory esthetic and functional outcomes for patients.