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Design of a customised bridging mandibular prosthesis for complex reconstruction: a pilot study
A Tarsitano1, S Battaglia1, A Sandi2
1Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Italy.
Summary
This study introduces a novel customized bridging mandibular prosthesis (CBMP) for mandibular reconstruction. This technique offers an alternative to traditional bone free flaps, potentially reducing complications associated with reconstructive plates.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomaterials Engineering
- Reconstructive Surgery
Background:
- The gold standard for mandibular reconstruction involves microvascular free flaps, but alternatives are needed for patients with poor prognosis.
- Bridging plates with soft tissue flaps are an option, yet complications like plate exposure and rupture are common.
Observation:
- Current reconstructive plate methods for mandibular defects carry significant risks of complications.
- A new method utilizing a customized bridging mandibular prosthesis (CBMP) without a bone free flap is presented.
Findings:
- The described customized bridging mandibular prosthesis (CBMP) offers a bone-free flap alternative for mandibular reconstruction.
- This approach aims to mitigate the complications associated with traditional reconstructive plates.
Implications:
- This CBMP technique may provide a safer and more effective solution for specific patient groups requiring mandibular reconstruction.
- Further research and clinical evaluation are warranted to establish the long-term efficacy and benefits of CBMP.

